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General NPI Number Information
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NPI Number | 1912456492
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Entity Type | Organization
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Legal Business Name | NUTRI SAVVY HEALTH
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 1911 N HOBART BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-1615
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Country | US
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Telephone | 323-806-6420
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 N HOBART BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-1615
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Country | US
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Telephone | 323-806-6420
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | DOROTHY LAUREN OCONNOR
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Credential | RD
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Telephone | 323-806-6420
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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 | 964533
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License Number State | CA
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