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NPI Code Detail

MEDICARE: DANIEL ALAN HIRST RD, LDN

MEDICARE: DANIEL ALAN HIRST RD, LDN
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 DietitianDN-0010872

General Provider Information

NPI Number : 1366113342
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ALAN HIRST RD, LDN
Provider Business Mailing Address
First Line : 560 S GOVERNORS AVE # 3090
Second Line :
City : DOVER
State : DE
Zip : 19904-3523
Country : US
Telephone Number : 302-744-6828
Fax Number : 302-744-6849
Provider Business Practice Location Address
First Line : 560 S GOVERNORS AVE # 3090
Second Line :
City : DOVER
State : DE
Zip : 19904-3523
Country : US
Telephone Number : 302-744-6828
Fax Number : 302-744-6849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2021
Last Update Date : 09/21/2021

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