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General NPI Number Information
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NPI Number | 1871750034
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Entity Type | Individual
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Provider Name | ROSEMARY DILTZ FARREN RD,LD
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Gender | Female
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 1330 COSHOCTON AVE ROOM 221
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City | MOUNT VERNON
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State | OH
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Zip | 43050-1440
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Country | US
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Telephone | 740-393-9147
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Fax | 740-399-3161
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Provider Business Mailing Address
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Address Line | 1330 COSHOCTON AVE ROOM 221
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City | MOUNT VERNON
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State | OH
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Zip | 43050-1440
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Country | US
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Telephone | 740-393-9147
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Fax | 740-399-3161
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | L1038
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License Number State | OH
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