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NPI Code Detail

MEDICARE: CHERYL BETH HULL MS, RD/LD

MEDICARE: CHERYL BETH HULL MS, RD/LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian1528OK

General Provider Information

NPI Number : 1265689780
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL BETH HULL MS, RD/LD
Provider Business Mailing Address
First Line : 3805 S 143RD EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74134-5722
Country : US
Telephone Number : 918-813-2800
Fax Number : 918-949-6678
Provider Business Practice Location Address
First Line : 3805 S 143RD EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74134-5722
Country : US
Telephone Number : 918-813-2800
Fax Number : 918-949-6678
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2008
Last Update Date : 08/27/2008

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Directions to “ CHERYL BETH HULL MS, RD/LD” Practice Location

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