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General NPI Number Information
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NPI Number | 1710335518
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Entity Type | Individual
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Provider Name | JENNA RATH MS, RD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 200 OHIO ST
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City | MEDINA
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State | NY
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Zip | 14103-1063
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Country | US
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Telephone | 585-798-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2544 NIAGARA RD LWR
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-2021
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Country | US
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Telephone | 716-909-7661
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Fax |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86040563
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License Number State | NY
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