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General NPI Number Information
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NPI Number | 1801233697
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Entity Type | Individual
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Provider Name | SHARON ZWICK-HAMILTON MS,RDN,CDE,CSG,LD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 15445 LAKE SHORE BLVD VILLA BEACH CLUB, COTT 14
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City | CLEVELAND
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State | OH
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Zip | 44110-1265
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Country | US
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Telephone | 216-738-0047
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Fax |
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Provider Business Mailing Address
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Address Line | VILLA BEACH CLUB, COTT 14
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City | CLEVELAND
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State | OH
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Zip | 44110-1265
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Country | US
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Telephone | 216-738-0047
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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 | 2840
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 2840
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | 2840
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License Number State | OH
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