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General NPI Number Information
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NPI Number | 1194962357
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Entity Type | Individual
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Provider Name | LISA L ASHCRAFT-CARR M.S., R.D., L.D.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2009
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Last Update Date | 01/09/2009
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Provider Practice Location Address
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Address Line | 3 HOSPITAL PLZ
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City | CLARKSBURG
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State | WV
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Zip | 26301-9316
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Country | US
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Telephone | 304-624-2506
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Fax | 304-624-2272
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Provider Business Mailing Address
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Address Line | 3 HOSPITAL PLZ P.O. BOX 1680
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City | CLARKSBURG
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State | WV
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Zip | 26301-9316
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Country | US
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Telephone | 304-624-2506
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Fax | 304-624-2272
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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 | 102
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License Number State | WV
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