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General NPI Number Information
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NPI Number | 1700936135
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Entity Type | Individual
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Provider Name | CHER A PASTORE RD, CDE
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 40 PARK AVE CAP NUTRITION, LLC
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City | NEW YORK
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State | NY
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Zip | 10016-3467
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Country | US
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Telephone | 212-532-1305
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Fax | 212-679-6160
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Provider Business Mailing Address
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Address Line | 155 E 34TH ST APT 5J
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City | NEW YORK
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State | NY
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Zip | 10016-4756
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Country | US
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Telephone | 212-532-1305
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Fax | 212-679-6160
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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 | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | 005593-1
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License Number State | NY
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