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General NPI Number Information
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NPI Number | 1942073036
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Entity Type | Organization
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Legal Business Name | FUELING WELL LLC
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 210 BROWNING RD
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City | LANCASTER
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State | PA
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Zip | 17602-4051
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Country | US
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Telephone | 717-341-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 210 BROWNING RD
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City | LANCASTER
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State | PA
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Zip | 17602-4051
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Country | US
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Telephone | 717-341-0005
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Fax |
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Authorized Official
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Title or Position | OWNER/ALLIED HEALTHCARE PROVIDER
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Name | MRS. ERIN SMUCKER
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Credential | MS, RD, LDN
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Telephone | 717-341-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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