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General NPI Number Information
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NPI Number | 1396070017
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Entity Type | Organization
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Legal Business Name | HEBNI NUTRITION CONSULTANTS, INC.
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 2009 W CENTRAL BLVD
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City | ORLANDO
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State | FL
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Zip | 32805-2124
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Country | US
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Telephone | 407-872-1333
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Fax | 407-872-7135
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Provider Business Mailing Address
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Address Line | 2009 W CENTRAL BLVD
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City | ORLANDO
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State | FL
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Zip | 32805-2124
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Country | US
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Telephone | 407-872-1333
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Fax | 407-872-7135
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. RONIECE ANITA WEAVER
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Credential | MS RD LD
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Telephone | 407-872-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | BUS-0009485
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License Number State | FL
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