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General NPI Number Information
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NPI Number | 1740172147
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Entity Type | Organization
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Legal Business Name | HILLTOP NUTRITION CONSULTANTS LLC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 471 HILLTOP RD
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City | ERIE
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State | PA
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Zip | 16509-2323
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Country | US
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Telephone | 814-853-5851
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Fax |
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Provider Business Mailing Address
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Address Line | 3411 PEACH ST UNIT 334
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City | ERIE
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State | PA
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Zip | 16508-2739
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THADDEUS GIBLIN
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Credential |
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Telephone | 814-853-5851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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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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