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NPI Code Detail

MEDICARE: DEBRA L POGODZINSKI RD, LD/N

MEDICARE:   DEBRA L POGODZINSKI  RD, LD/N
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 DietitianL004372NC

General Provider Information

NPI Number : 1548590904
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA L POGODZINSKI RD, LD/N
Provider Business Mailing Address
First Line : 221 DRAKE LNDG
Second Line :
City : NEW BERN
State : NC
Zip : 28560-8415
Country : US
Telephone Number : 850-382-4100
Fax Number :
Provider Business Practice Location Address
First Line : 221 DRAKE LNDG
Second Line :
City : NEW BERN
State : NC
Zip : 28560-8415
Country : US
Telephone Number : 850-382-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2010
Last Update Date : 11/13/2015

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