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General NPI Number Information
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NPI Number | 1144521824
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Entity Type | Organization
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Legal Business Name | ARIEL EVE HEALTH INC
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Dates
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Enumeration Date | 11/11/2010
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 20020 VETERANS BLVD SUITE 12
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City | PORT CHARLOTTE
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State | FL
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Zip | 33954-2112
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Country | US
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Telephone | 941-613-1790
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Fax | 941-627-3553
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Provider Business Mailing Address
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Address Line | 2141 PINE TER
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City | SARASOTA
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State | FL
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Zip | 34231-4429
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Country | US
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Telephone | 941-613-1790
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Fax | 941-627-3553
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Authorized Official
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Title or Position | OWNER
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Name | ARIEL ROBARGE
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Credential | RD LD
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Telephone | 941-613-1790
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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 | ND5569
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License Number State | FL
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