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General NPI Number Information
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NPI Number | 1801338041
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Entity Type | Organization
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Legal Business Name | AMS NUTRITION COUNSELING
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 64 DAVISON CT
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City | LOCKPORT
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State | NY
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Zip | 14094-5370
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Country | US
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Telephone | 716-266-6056
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Fax | 716-332-6412
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Provider Business Mailing Address
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Address Line | 64 DAVISON CT
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City | LOCKPORT
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State | NY
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Zip | 14094-5370
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Country | US
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Telephone | 716-266-6056
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Fax | 716-332-6412
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | AMY SHULTS
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Credential | RD
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Telephone | 716-226-6056
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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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