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General NPI Number Information
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NPI Number | 1821535535
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Entity Type | Organization
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Legal Business Name | NICOLE FRANK-MASLAR DBA PYRAMID NUTRITION SERVICES
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 33 MULBERRY ST
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City | SPRINGFIELD
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State | MA
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Zip | 01105-1406
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Country | US
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Telephone | 413-330-8167
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Fax | 413-480-0517
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Provider Business Mailing Address
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Address Line | 128 TANNERY RD
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City | WESTFIELD
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State | MA
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Zip | 01085-4841
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Country | US
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Telephone | 413-427-6340
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Fax | 413-480-0517
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NICOLE K FRANK-MASLAR
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Credential | RDN, LDN
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Telephone | 413-330-8167
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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 | 4240
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License Number State | MA
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