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General NPI Number Information
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NPI Number | 1205122421
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Entity Type | Individual
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Provider Name | ALLISON LUTZ M.S., R.D./L.D.N.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 12502 WILLOWBROOK RD STE 300
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City | CUMBERLAND
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State | MD
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Zip | 21502-6498
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Country | US
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Telephone | 240-964-8787
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Fax | 240-964-8687
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Provider Business Mailing Address
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Address Line | PO BOX 1671
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City | CUMBERLAND
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State | MD
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Zip | 21501-1671
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Country | US
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Telephone | 240-964-8342
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Fax | 240-964-8337
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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 | DX3198
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License Number State | MD
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