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General NPI Number Information
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NPI Number | 1831980093
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Entity Type | Organization
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Legal Business Name | NATURAL WAY CLINIC LLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 621 HIDDEN OAK DR
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City | CLAIRTON
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State | PA
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Zip | 15025-3852
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Country | US
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Telephone | 412-418-4111
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Fax |
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Provider Business Mailing Address
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Address Line | 4439 1/2 FLORIDA ST
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City | SAN DIEGO
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State | CA
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Zip | 92116-4003
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Country | US
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Telephone | 412-418-4111
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Fax |
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Authorized Official
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Title or Position | NUTRITIONIST
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Name | KAYLA GASBARRO
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Credential | CNS
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Telephone | 412-418-4111
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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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