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General NPI Number Information
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NPI Number | 1215247663
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Entity Type | Organization
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Legal Business Name | A & B NUTRITION EDUCATION, LLC
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 5802 N 25TH ST
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City | PHOENIX
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State | AZ
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Zip | 85016-2842
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Country | US
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Telephone | 602-451-6826
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Fax |
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Provider Business Mailing Address
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Address Line | 5802 N. 25TH ST
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City | PHOENIX
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State | AZ
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Zip | 85016-2842
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Country | US
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Telephone | 602-451-6826
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. LEZLI R. STONE
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Credential | R.D.
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Telephone | 602-451-6826
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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 | 527790
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License Number State |
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