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General NPI Number Information
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NPI Number | 1508308263
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Entity Type | Organization
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Legal Business Name | NUTRITION EDUCATION RESOURCES, INC.
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Dates
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Enumeration Date | 11/12/2016
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Last Update Date | 11/12/2016
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Provider Practice Location Address
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Address Line | 112 RIVER OAKS DR
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City | LA PLACE
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State | LA
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Zip | 70068-7100
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Country | US
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Telephone | 985-651-2342
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Fax | 888-573-1919
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Provider Business Mailing Address
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Address Line | 112 RIVER OAKS DR
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City | LA PLACE
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State | LA
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Zip | 70068-7100
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Country | US
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Telephone | 985-651-2342
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Fax | 888-573-1919
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Authorized Official
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Title or Position | CEO
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Name | VIRGINIA JO DANTONE
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Credential | RDN, CDE
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Telephone | 985-651-2342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 1654
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1654
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License Number State | LA
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