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General NPI Number Information
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NPI Number | 1952628190
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Entity Type | Individual
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Provider Name | VALERIE L. WERTER-GREEN RD
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Gender | Female
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Dates
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Enumeration Date | 04/28/2010
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 16 GUION PL
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5502
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Country | US
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Telephone | 914-365-3160
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Fax |
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Provider Business Mailing Address
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Address Line | 16 GUION PL ISELIN HALL, ROOM 107
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5502
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Country | US
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Telephone | 914-365-3160
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 001584
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License Number State | NY
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