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General NPI Number Information
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NPI Number | 1114106523
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Entity Type | Individual
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Provider Name | MARISA SMITH RD,LD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 1139 ROUTE 63
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City | WESTMORELAND
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State | NH
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Zip | 03467
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Country | US
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Telephone | 603-399-4988
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Fax |
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Provider Business Mailing Address
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Address Line | 1139 ROUTE 63
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City | WESTMORELAND
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State | NH
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Zip | 03467
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Country | US
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Telephone |
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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 | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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License Number State | NH
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