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General NPI Number Information
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NPI Number | 1528094166
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Entity Type | Individual
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Provider Name | ASHLI LYNNE GREENWALD MS RD LDN
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Gender | Female
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4940 EASTERN AVE JOHNS HOPKINS BAYVIEW MEDICAL CENTER CLINICAL NUTRITION
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City | BALTIMORE
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State | MD
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Zip | 21224-2735
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Country | US
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Telephone | 410-550-1549
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Fax | 410-550-0650
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Provider Business Mailing Address
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Address Line | 5116 MORNINGSIDE LN
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-7939
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Country | US
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Telephone | 410-750-7216
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Fax | 410-550-0650
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | D01644
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License Number State | MD
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