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General NPI Number Information
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NPI Number | 1316532088
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Entity Type | Individual
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Provider Name | GABRIELLA PRETTELT RDN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1105 LAUREL OAK RD STE 165D
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City | VOORHEES
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State | NJ
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Zip | 08043-4312
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Country | US
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Telephone | 856-341-8250
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Fax | 856-341-8251
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 856-341-8250
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Fax | 856-341-8251
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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 |
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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 | 86168136
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License Number State | NJ
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