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General NPI Number Information
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NPI Number | 1821728189
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Entity Type | Organization
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Legal Business Name | NESTLED CREATIONS LLC.
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 24 LEEWARD DR
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City | BLOOMINGBURG
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State | NY
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Zip | 12721-5203
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Country | US
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Telephone | 845-381-4377
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Fax |
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Provider Business Mailing Address
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Address Line | 24 LEEWARD DR
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City | BLOOMINGBURG
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State | NY
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Zip | 12721-5203
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Country | US
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Telephone | 845-381-4377
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Fax |
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Authorized Official
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Title or Position | OWNER/SONOGRAPHER
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Name | CHRISTINA LEPPERT-CHAVEZ
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Credential | ARDMS
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Telephone | 845-381-4377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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