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General NPI Number Information
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NPI Number | 1679190144
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Entity Type | Organization
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Legal Business Name | C.A.R.E. NUTRITION CONSULTANTS, LLC
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | 120 BRECKENRIDGE RD
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City | MAHOPAC
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State | NY
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Zip | 10541-1200
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Country | US
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Telephone | 646-330-5161
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Fax |
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Provider Business Mailing Address
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Address Line | 120 BRECKENRIDGE RD
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City | MAHOPAC
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State | NY
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Zip | 10541-1200
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Country | US
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Telephone | 646-330-5161
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BETTY KOVACS-HARBOLIC
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Credential | MS, RDN, CDN
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Telephone | 646-330-5161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133VN1101X
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Taxonomy Name | Gerontological Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #7
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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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