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General NPI Number Information
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NPI Number | 1023267978
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Entity Type | Individual
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Provider Name | JODIE DARLING M.S. RD
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Gender | Female
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 99 BEAUVOIR AVE BOX 243
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City | SUMMIT
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State | NJ
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Zip | 07901-3533
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Country | US
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Telephone | 908-522-5756
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Fax | 908-522-5779
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Provider Business Mailing Address
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Address Line | 99 BEAUVOIR AVE BOX 243
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City | SUMMIT
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State | NJ
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Zip | 07901-3533
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Country | US
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Telephone | 908-522-5756
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Fax | 908-522-5779
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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