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General NPI Number Information
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NPI Number | 1033228952
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Entity Type | Individual
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Provider Name | HEATHER COLLEEN MCCORMICK M.S., R.D., L.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 1699 W MOUND ST
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City | COLUMBUS
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State | OH
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Zip | 43223-1809
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Country | US
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Telephone | 614-437-2880
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Fax | 614-278-3143
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Provider Business Mailing Address
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Address Line | 272 KENBROOK DR
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City | WORTHINGTON
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State | OH
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Zip | 43085-3613
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Country | US
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Telephone | 614-580-3991
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Fax |
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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 | 5422
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License Number State | OH
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