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General NPI Number Information
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NPI Number | 1154620045
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Entity Type | Individual
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Provider Name | JENNIFER TOTH RD
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Gender | Female
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 12/05/2016
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Provider Practice Location Address
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Address Line | 360 W RUDDLE ST
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City | COALDALE
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State | PA
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Zip | 18218-1027
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Country | US
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Telephone | 610-645-8108
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Fax |
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Provider Business Mailing Address
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Address Line | 360 W RUDDLE ST
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City | COALDALE
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State | PA
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Zip | 18218-1027
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Country | US
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Telephone | 570-645-8108
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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 | DN002283
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License Number State | PA
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