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General NPI Number Information
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NPI Number | 1255943866
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Entity Type | Individual
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Provider Name | SHARI MERMELSTEIN RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 555 RACE ST
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City | CINCINNATI
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State | OH
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Zip | 45202-2347
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Country | US
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Telephone | 855-699-6937
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 E BROWARD BLVD APT 212
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2107
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Country | US
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Telephone | 954-637-3445
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND9941
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License Number State | FL
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