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General NPI Number Information
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NPI Number | 1669297248
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Entity Type | Organization
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Legal Business Name | ABLOCKER NUTRITION COUNSELING LLC
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 806 COMMERCE DR STE A
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City | DECORAH
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State | IA
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Zip | 52101-2363
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Country | US
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Telephone | 563-794-0561
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Fax |
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Provider Business Mailing Address
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Address Line | 806 COMMERCE DR STE A
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City | DECORAH
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State | IA
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Zip | 52101-2363
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Country | US
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Telephone | 563-794-0561
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNE MARIE BLOCKER
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Credential | MS, RDN, LD
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Telephone | 563-794-0561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1501X
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Taxonomy Name | Sports Dietetics Nutrition 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 | 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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