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General NPI Number Information
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NPI Number | 1740634138
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Entity Type | Organization
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Legal Business Name | LIBBY MILLS NUTRITION
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 04/21/2016
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Provider Practice Location Address
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Address Line | 50 W WELSH POOL RD
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City | EXTON
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State | PA
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Zip | 19341-1200
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Country | US
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Telephone | 215-546-1231
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Fax |
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Provider Business Mailing Address
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Address Line | 437 W MINER ST
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City | WEST CHESTER
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State | PA
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Zip | 19382-2834
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Country | US
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Telephone | 215-546-1231
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Fax | 610-906-1330
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ELIZABETH MILLS
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Credential | MS, RDN, LDN, FAND
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Telephone | 215-546-1231
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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 | DN001410
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License Number State | PA
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