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General NPI Number Information
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NPI Number | 1487909214
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Entity Type | Organization
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Legal Business Name | SMARTER EATING, INC
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 107 AVE ORTEGON CAPARRA GALLERY 312
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City | GUAYNABO
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State | PR
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Zip | 00966-2515
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Country | US
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Telephone | 787-667-0600
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Fax | 787-754-0935
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Provider Business Mailing Address
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Address Line | 107 AVE ORTEGON CAPARRA GALLERY 312
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City | GUAYNABO
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State | PR
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Zip | 00966-2515
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Country | US
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Telephone | 787-667-0600
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Fax | 787-754-0935
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Authorized Official
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Title or Position | DIETICIAN
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Name | GISELLE M ZAVALA
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Credential |
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Telephone | 787-565-5480
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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 | 1394
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License Number State | PR
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