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General NPI Number Information
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NPI Number | 1124485818
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Entity Type | Individual
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Provider Name | KAY STEWART BEATTY M.S., R.D.N.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 16599 BERGTON RD
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City | BERGTON
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State | VA
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Zip | 22811-2420
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Country | US
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Telephone | 540-560-9232
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 79
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City | BERGTON
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State | VA
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Zip | 22811-0079
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Country | US
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Telephone | 540-560-9232
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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 |
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License Number State |
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