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General NPI Number Information
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NPI Number | 1801409917
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Entity Type | Organization
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Legal Business Name | MAUREEN RIERAS LLC
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 4701 WILLARD AVE APT 1110
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4624
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Country | US
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Telephone | 773-510-6626
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 WILLARD AVE APT 1110
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4624
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Country | US
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Telephone | 773-510-6626
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Fax |
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Authorized Official
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Title or Position | NUTRITIONIST/OWNER
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Name | MAUREEN RIERAS
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Credential | CNS LDN
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Telephone | 773-510-6626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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