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General NPI Number Information
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NPI Number | 1578988614
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Entity Type | Organization
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Legal Business Name | SOUND BITES NUTRITION
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 11145 LUSCHEK DR
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City | BLUE ASH
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State | OH
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Zip | 45241-7416
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Country | US
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Telephone | 513-675-6780
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Fax |
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Provider Business Mailing Address
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Address Line | 2918 LOSANTIRIDGE AVE
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City | CINCINNATI
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State | OH
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Zip | 45213-1034
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Country | US
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Telephone | 513-675-6780
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Fax |
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Authorized Official
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Title or Position | CONSULTANT DIETITIAN
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Name | MRS. LISA C ANDREWS
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Credential | MED, RD, LD
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Telephone | 513-675-6780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3151
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License Number State | OH
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