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General NPI Number Information
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NPI Number | 1629677760
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Entity Type | Organization
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Legal Business Name | HEALTH AND HEART
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 333 W BASTANCHURY RD STE 110
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City | FULLERTON
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State | CA
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Zip | 92835-3433
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Country | US
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Telephone | 714-310-1145
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Fax |
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Provider Business Mailing Address
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Address Line | 333 W BASTANCHURY RD STE 110
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City | FULLERTON
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State | CA
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Zip | 92835-3433
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Country | US
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Telephone | 714-310-1145
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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 | NATALIE. ANA BAUGH
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Credential | M.S., RDN
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Telephone | 714-310-1145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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