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General NPI Number Information
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NPI Number | 1407400815
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Entity Type | Individual
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Provider Name | ERIN OREKAR LDN
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Gender | Female
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 515 E 9TH AVE
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-2317
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 835 WEST CHESTER PIKE SECOND FLOOR
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City | WEST CHESTER
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State | PA
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Zip | 19382-4863
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Country | US
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Telephone |
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | DN006830
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License Number State | PA
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