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General NPI Number Information
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NPI Number | 1669723300
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Entity Type | Individual
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Provider Name | ROBYN GAINES-MOSS MS, RD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 09/20/2012
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Provider Practice Location Address
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Address Line | 4825 TORRANCE BLVD SUITE 101
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City | TORRANCE
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State | CA
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Zip | 90503-4134
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Country | US
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Telephone | 310-542-7900
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Fax | 855-898-4055
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Provider Business Mailing Address
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Address Line | PO BOX 3098
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City | TORRANCE
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State | CA
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Zip | 90510-3098
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Country | US
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Telephone | 310-792-3914
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Fax | 855-898-4055
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | RD687545
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License Number State | CA
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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 | RD687545
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License Number State | CA
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