MEDICARE: MRS. CAROLYN CASWELL HARRINGTON RD, LDN, CDE

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
1	133V00000X	Registered Dietitian	354	WI
2	133V00000X	Registered Dietitian	ND5819	FL

General Provider Information

NPI Number	:	1457381840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROLYN CASWELL HARRINGTON RD, LDN, CDE

Provider Business Mailing Address
First Line	:	217 RIO TERRA
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-2949
Country	:	US
Telephone Number	:	941-882-3071
Fax Number	:	941-882-3071

Provider Business Practice Location Address
First Line	:	217 RIO TERRA
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-2949
Country	:	US
Telephone Number	:	941-882-3071
Fax Number	:	941-882-3071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	05/08/2013

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