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General NPI Number Information
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NPI Number | 1962938530
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Entity Type | Individual
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Provider Name | GREESHMA VARGHESE
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Gender | Female
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 05/02/2017
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Provider Practice Location Address
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Address Line | 664 S ROUTE 59
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City | NAPERVILLE
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State | IL
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Zip | 60540-0900
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Country | US
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Telephone | 630-453-5656
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Fax | 888-828-3316
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Provider Business Mailing Address
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Address Line | 664 S ROUTE 59
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City | NAPERVILLE
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State | IL
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Zip | 60540-0900
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Country | US
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Telephone | 630-453-5656
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Fax | 888-828-3316
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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 |
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License Number State |
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Taxonomy #2
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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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