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General NPI Number Information
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NPI Number | 1689141988
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Entity Type | Organization
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Legal Business Name | NO DIET DIETITIAN, LLC
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 822 S PROSPECT ST
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City | BURLINGTON
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State | VT
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Zip | 05401-3513
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Country | US
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Telephone | 802-222-6907
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Fax |
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Provider Business Mailing Address
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Address Line | 163 BAYBERRY CIRCLE #204
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City | BURLINGTON
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State | VT
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Zip | 05401
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Country | US
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Telephone | 646-771-7517
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Fax | 802-497-2052
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Authorized Official
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Title or Position | REGISTERED DIETITIAN, CEO
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Name | MS. VALERIE GOLDBERG
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Credential | RD, CD
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Telephone | 646-771-7517
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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 |
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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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