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NPI Code Detail

MEDICARE: CASE SPECIFIC NUTRITION LLC

MEDICARE: CASE SPECIFIC NUTRITION LLC
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
1163WD0400XDiabetes Educator Registered Nurse
2174H00000XHealth Educator
3133V00000XRegistered Dietitian

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750758561
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASE SPECIFIC NUTRITION LLC
Provider Business Mailing Address
First Line : 5750 BAUM BLVD STE 306
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-3793
Country : US
Telephone Number : 412-726-5607
Fax Number : 844-311-7396
Provider Business Practice Location Address
First Line : 5750 BAUM BLVD STE 306
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-3793
Country : US
Telephone Number : 412-593-2048
Fax Number : 844-311-7396
Authorized Official
Title or Position : OFFICE ADMIN
Name : ROB MARTY
Credential :
Telephone Number : 412-726-5607
Provider Enumeration Date : 08/27/2015
Last Update Date : 04/22/2025

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1992347975 — LAURA ELIZABETH KLEIBER MS, RDN, LDN
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Directions to “CASE SPECIFIC NUTRITION LLC ” Practice Location

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