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General NPI Number Information
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NPI Number | 1386350528
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Entity Type | Individual
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Provider Name | MARTA LUGO
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Gender | Female
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 59 BOULDER RIDGE RD APT 202
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City | ASHEVILLE
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State | NC
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Zip | 28806-0245
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Country | US
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Telephone | 828-784-0060
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Fax |
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Provider Business Mailing Address
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Address Line | 59 BOULDER RIDGE RD APT 202
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City | ASHEVILLE
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State | NC
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Zip | 28806-0245
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Country | US
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Telephone | 828-785-0060
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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 | 2118
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 2118
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License Number State | PR
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