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General NPI Number Information
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NPI Number | 1437385416
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Entity Type | Organization
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Legal Business Name | DIABETES AND HEART HEALTH CONSULTANTS LLC
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 20100 N 51ST AVE SUITE #F640
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City | GLENDALE
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State | AZ
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Zip | 85308-5125
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Country | US
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Telephone | 623-521-5867
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Fax | 602-441-3934
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Provider Business Mailing Address
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Address Line | 5420 W MURIEL DR
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City | GLENDALE
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State | AZ
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Zip | 85308-5380
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Country | US
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Telephone | 623-521-5867
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Fax | 602-441-3934
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Authorized Official
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Title or Position | DIABETES PROGRAM MANAGER
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Name | DR. NIRALI SONI
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Credential | PHARM.D, RPH, CDE
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Telephone | 623-521-5867
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | S011205
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License Number State | AZ
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