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General NPI Number Information
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NPI Number | 1568173656
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Entity Type | Organization
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Legal Business Name | MORNING HEALTH
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 4676 S LEBANON RD
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City | EARLVILLE
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State | NY
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Zip | 13332-2810
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Country | US
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Telephone | 315-857-5676
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Fax |
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Provider Business Mailing Address
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Address Line | 4676 S LEBANON RD
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City | EARLVILLE
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State | NY
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Zip | 13332-2810
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Country | US
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Telephone | 315-857-5676
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | ALESSANDRA KERSHAW
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Credential | RD
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Telephone | 315-857-5676
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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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Taxonomy #2
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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