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General NPI Number Information
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NPI Number | 1316267545
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Entity Type | Individual
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Provider Name | ALLISON E JANISCH RD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 25 LENHOME DR
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City | CRANFORD
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State | NJ
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Zip | 07016-2956
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Country | US
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Telephone | 607-351-9044
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Fax |
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Provider Business Mailing Address
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Address Line | 25 LENHOME DR
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City | CRANFORD
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State | NJ
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Zip | 07016-2956
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Country | US
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Telephone | 607-351-9044
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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 | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | DN0000405
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License Number State | DE
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN-0000405
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN003912
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN0000405
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License Number State | DE
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