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NPI 1811620644

NPI 1811620644 : NEHAL A PATEL RDN , CDN, CDM CFPP : NORTH BELLMORE, NY

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General NPI Number Information
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    NPI Number           |    1811620644
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    Entity Type          |    Individual 
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    Provider Name        |    NEHAL A PATEL RDN , CDN, CDM CFPP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/08/2022
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    Last Update Date     |    07/08/2022
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Provider Practice Location Address
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    Address Line         |    2492 CAMP AVE 
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    City                 |    NORTH BELLMORE
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    State                |    NY
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    Zip                  |    11710-3032
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    Country              |    US
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    Telephone            |    516-492-4578
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2492 CAMP AVE 
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    City                 |    NORTH BELLMORE
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    State                |    NY
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    Zip                  |    11710-3032
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    Country              |    US
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    Telephone            |    516-492-4578
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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        |    133NN1002X
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    Taxonomy Name        |    Nutrition Education Nutritionist
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    License Number       |    009207-1
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    871701
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    License Number State |    NY
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