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General NPI Number Information
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NPI Number | 1174068936
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Entity Type | Organization
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Legal Business Name | EAT WELL & BEYOND, LLP
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 11/01/2019
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Provider Practice Location Address
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Address Line | 707 CHESTNUT ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3010
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Country | US
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Telephone | 603-264-7851
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Fax |
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Provider Business Mailing Address
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Address Line | 707 CHESTNUT ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3010
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Country | US
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Telephone | 603-264-7851
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Fax |
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Authorized Official
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Title or Position | DIETITIAN
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Name | MRS. HEATHER S TAYLOR
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Credential | RD
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Telephone | 603-264-7851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 0584
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License Number State | NH
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