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NPI 1255474086

NPI 1255474086 : LAURA ZOHMAN LDN : DANVERS, MA

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General NPI Number Information
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    NPI Number           |    1255474086
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA ZOHMAN LDN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/14/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    194 NORTH ST 
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    City                 |    DANVERS
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    State                |    MA
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    Zip                  |    01923-1242
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    Country              |    US
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    Telephone            |    978-777-9911
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 35 
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    City                 |    TOPSFIELD
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    State                |    MA
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    Zip                  |    01983-0035
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    Country              |    US
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    Telephone            |    978-777-9911
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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        |    133NN1002X
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    Taxonomy Name        |    Nutrition Education Nutritionist
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    License Number       |    1912
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    License Number State |    MA
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