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General NPI Number Information
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NPI Number | 1083842116
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Entity Type | Organization
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Legal Business Name | GREAT LAKES DIETARY COUNSELING, LLC
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Dates
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Enumeration Date | 06/27/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 36151 MORAVIAN DR
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48035-1148
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Country | US
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Telephone | 586-291-5669
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Fax |
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Provider Business Mailing Address
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Address Line | 36151 MORAVIAN DR
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48035-1148
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Country | US
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Telephone | 586-291-5669
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | MS. JOSEFINE LAMPASONA
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Credential | MS, RD
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Telephone | 586-291-5669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 947399
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License Number State |
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