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NPI Code Detail

MEDICARE: EMMA MORGAN RICH RD

MEDICARE:   EMMA MORGAN RICH  RD
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 Dietitian

General Provider Information

NPI Number : 1356006324
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA MORGAN RICH RD
Provider Business Mailing Address
First Line : 215 LEXINGTON BLVD
Second Line :
City : CARMEL
State : IN
Zip : 46032-2247
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 215 LEXINGTON BLVD
Second Line :
City : CARMEL
State : IN
Zip : 46032-2247
Country : US
Telephone Number : 765-210-9525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2021
Last Update Date : 11/04/2021

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Directions to “ EMMA MORGAN RICH RD” Practice Location

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