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General NPI Number Information
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NPI Number | 1104057892
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Entity Type | Individual
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Provider Name | LENA BEZMAN M.S., M.P.H., LDN
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Gender | Female
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 12/23/2014
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Provider Practice Location Address
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Address Line | 2115 HARMONY WOODS RD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-1642
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Country | US
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Telephone | 410-370-2822
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Fax |
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Provider Business Mailing Address
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Address Line | 2115 HARMONY WOODS RD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-1642
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Country | US
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Telephone | 410-370-2822
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | DX2964
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License Number State | MD
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