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General NPI Number Information
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NPI Number | 1912427972
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Entity Type | Individual
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Provider Name | ESTHER BERENHAUT RD, CSP, CSR
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 4650 W SUNSET BLVD # MS 40
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City | LOS ANGELES
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State | CA
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Zip | 90027-6062
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Country | US
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Telephone | 323-361-3472
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Fax | 323-361-1184
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Provider Business Mailing Address
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Address Line | 4650 W SUNSET BLVD # MS 40
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City | LOS ANGELES
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State | CA
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Zip | 90027-6062
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Country | US
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Telephone | 323-361-3472
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Fax | 323-361-1184
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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 | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 858521
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License Number State |
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