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General NPI Number Information
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NPI Number | 1508462896
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Entity Type | Organization
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Legal Business Name | NUTRITION CARE OF ROCHESTER, PLLC
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 3380 MONROE AVE STE 213
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City | ROCHESTER
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State | NY
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Zip | 14618-4726
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Country | US
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Telephone | 585-563-9000
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Fax | 585-301-4895
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Provider Business Mailing Address
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Address Line | 150 WIMBLEDON RD
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City | ROCHESTER
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State | NY
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Zip | 14617-4229
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AMANDA RONZO
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Credential | MS. RDN. CLC. CDN
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Telephone | 585-563-9000
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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 |
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License Number State |
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