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General NPI Number Information
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NPI Number | 1902171663
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Entity Type | Organization
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Legal Business Name | URSULA WHITNEY/NORTH SHORE NUTRITION CONSULTANTS
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Dates
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Enumeration Date | 03/14/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 6 GARDEN ST STE 2
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City | DANVERS
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State | MA
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Zip | 01923-1431
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Country | US
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Telephone | 978-535-6043
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Fax |
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Provider Business Mailing Address
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Address Line | 6 GARDEN ST STE 2
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City | DANVERS
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State | MA
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Zip | 01923-1431
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Country | US
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Telephone | 978-535-6043
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANN MARIE MCGRANE
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Credential |
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Telephone | 978-535-6043
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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 | 460
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License Number State | MA
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