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General NPI Number Information
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NPI Number | 1720650229
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Entity Type | Organization
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Legal Business Name | THE GENTLE NUTRITION RD PC
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 8170 BEVERLY BLVD STE 106
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City | LOS ANGELES
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State | CA
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Zip | 90048-4533
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Country | US
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Telephone | 310-817-6774
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Fax | 213-260-8296
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Provider Business Mailing Address
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Address Line | 1545 N LAUREL AVE APT 214
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City | LOS ANGELES
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State | CA
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Zip | 90046-2582
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Country | US
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Telephone | 310-817-6774
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Fax | 213-260-8296
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Authorized Official
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Title or Position | CEO, FOUNDER, RD
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Name | ERICA MARKOVITZ
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Credential | RD
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Telephone | 310-817-6774
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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 |
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License Number State |
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