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General NPI Number Information
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NPI Number | 1629690078
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Entity Type | Individual
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Provider Name | LAUREN BINTZ RD, CDN
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Gender | Female
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 6013 FARRINGTON RD
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8172
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Country | US
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Telephone | 984-974-0661
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Fax |
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Provider Business Mailing Address
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Address Line | 18 FEATHERS DR
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City | PLATTSBURGH
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State | NY
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Zip | 12901-6461
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Country | US
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Telephone | 518-324-2040
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Fax |
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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 | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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License Number State | NC
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