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General NPI Number Information
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NPI Number | 1356477848
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Entity Type | Organization
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Legal Business Name | HIGH MEADOW HEALTHY LIVING, LLC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 3711 HIGH MEADOW RD
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City | CHAPEL HILL
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State | NC
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Zip | 27514-9600
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Country | US
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Telephone | 919-880-4468
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Fax |
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Provider Business Mailing Address
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Address Line | 3711 HIGH MEADOW RD
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City | CHAPEL HILL
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State | NC
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Zip | 27514-9600
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Country | US
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Telephone | 919-880-4468
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PATRICIA MACLEOD ANDREWS
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Credential | MPH, RD, LDN
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Telephone | 919-880-4468
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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 | RD#621562, L001042
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License Number State | NC
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