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General NPI Number Information
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NPI Number | 1912419581
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Entity Type | Individual
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Provider Name | CHRISTINA LIPUMA RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 11/03/2017
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Provider Practice Location Address
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Address Line | 5210 HAVERFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19139
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Country | US
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Telephone | 609-802-3826
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Fax |
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Provider Business Mailing Address
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Address Line | 62 CARTWRIGHT DR
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City | WEST WINDSOR
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State | NJ
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Zip | 08550-1933
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Country | US
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Telephone | 609-802-3826
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 4364
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License Number State | MA
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