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General NPI Number Information
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NPI Number | 1174262414
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Entity Type | Organization
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Legal Business Name | JACQUELINE REED
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 800 GREENWOOD AVE APT 5L
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City | BROOKLYN
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State | NY
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Zip | 11218-1330
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Country | US
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Telephone | 914-584-0169
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Fax |
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Provider Business Mailing Address
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Address Line | 800 GREENWOOD AVE APT 5L
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City | BROOKLYN
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State | NY
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Zip | 11218-1330
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Country | US
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Telephone | 914-584-0169
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN NUTRITIONIST
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Name | MS. JACQUELINE REED
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Credential | MS, CDN, RDN, CDCES
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Telephone | 914-584-0169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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