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General NPI Number Information
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NPI Number | 1891275244
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Entity Type | Individual
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Provider Name | NJERI KAI JARVIS RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 114 MICHIGAN AVE NE APT 33H
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City | WASHINGTON
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State | DC
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Zip | 20017-4304
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Country | US
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Telephone | 202-390-4938
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Fax |
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Provider Business Mailing Address
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Address Line | 114 MICHIGAN AVE NE APT 33H
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City | WASHINGTON
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State | DC
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Zip | 20017-4304
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Country | US
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Telephone | 202-390-4938
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | D02198
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | DI100000177
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | D02198
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | DI100000177
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | DI100000177
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI100000177
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License Number State | DC
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