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General NPI Number Information
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NPI Number | 1033996459
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Entity Type | Individual
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Provider Name | EVE PENUEL RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 4815 LIBERTY AVE STE 215
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City | PITTSBURGH
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State | PA
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Zip | 15224-2156
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Country | US
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Telephone | 412-578-1026
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Fax |
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Provider Business Mailing Address
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Address Line | 5562 HOBART ST APT 702
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City | PITTSBURGH
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State | PA
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Zip | 15217-1995
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Country | US
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Telephone | 856-701-0266
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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 | DN008215
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License Number State | PA
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