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General NPI Number Information
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NPI Number | 1487892907
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Entity Type | Individual
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Provider Name | MRS. CAROL L. NAKLES
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Gender | Female
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 01/22/2009
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Provider Practice Location Address
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Address Line | 101 BRADFORD RD SUITE 220
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City | WEXFORD
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State | PA
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Zip | 15090-6909
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Country | US
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Telephone | 412-779-1280
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Fax | 412-366-8965
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Provider Business Mailing Address
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Address Line | 108 BRYANT DR
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City | PITTSBURGH
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State | PA
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Zip | 15235-4626
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Country | US
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Telephone | 412-371-5768
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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 | DN001099
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN001099
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License Number State | PA
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