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NPI 1427939206

NPI 1427939206 : HELENA MARSHALL GRILLO RD : CORONADO, CA

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General NPI Number Information
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    NPI Number           |    1427939206
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    Entity Type          |    Individual 
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    Provider Name        |    HELENA MARSHALL GRILLO RD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/09/2025
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    Last Update Date     |    06/12/2026
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Provider Practice Location Address
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    Address Line         |    269 D AVE 
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    City                 |    CORONADO
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    State                |    CA
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    Zip                  |    92118-1318
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    Country              |    US
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    Telephone            |    619-888-9775
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    269 D AVE 
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    City                 |    CORONADO
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    State                |    CA
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    Zip                  |    92118-1318
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    Country              |    US
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    Telephone            |    619-888-9775
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    86392301
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    License Number State |    CA
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