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General NPI Number Information
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NPI Number | 1891361333
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Entity Type | Organization
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Legal Business Name | BETH WARREN NUTRITION
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 1551 EAST 4TH STREET
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City | BROOKLYN
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State | NY
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Zip | 11230
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Country | US
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Telephone | 347-292-1725
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Fax | 212-202-6025
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Provider Business Mailing Address
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Address Line | 1551 EAST 4TH STREET
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City | BROOKLYN
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State | NY
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Zip | 11230
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Country | US
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Telephone | 347-292-1725
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Fax | 212-202-6025
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Authorized Official
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Title or Position | MS RD CDN, CEO
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Name | MRS. BETH ALLISON WARREN
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Credential |
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Telephone | 347-292-1725
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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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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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