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General NPI Number Information
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NPI Number | 1891743597
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Entity Type | Organization
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Legal Business Name | LOVE R US CHILD AND NUTRITION SERVICES
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10500 GRANDVIEW RD
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City | KANSAS CITY
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State | MO
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Zip | 64137-1624
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Country | US
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Telephone | 816-767-0925
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Fax | 816-767-0925
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Provider Business Mailing Address
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Address Line | 1403 ESSEX CT
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City | RAYMORE
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State | MO
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Zip | 64083-9091
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Country | US
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Telephone | 816-331-2044
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Fax | 816-767-0925
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Authorized Official
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Title or Position | PRRESIDENT
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Name | MRS. AISHA L WASHINGTON
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Credential | M.S.,R.D.,L.D.
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Telephone | 816-965-0652
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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 | 2004034948
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License Number State | MO
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