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General NPI Number Information
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NPI Number | 1205196755
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Entity Type | Individual
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Provider Name | BLANCHE KEIR R.D., LDN
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Gender | Female
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 111 LANSDOWNE AVE
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City | HADDONFIELD
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State | NJ
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Zip | 08033-2735
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Country | US
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Telephone | 856-261-5277
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Fax |
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Provider Business Mailing Address
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Address Line | 111 LANSDOWNE AVE
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City | HADDONFIELD
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State | NJ
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Zip | 08033-2735
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Country | US
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Telephone | 856-261-5277
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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 | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | DN004653
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License Number State | PA
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