MEDICARE: MS. BARBARA HALPERN R.D.

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	ND 4246	FL

General Provider Information

NPI Number	:	1932281318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA HALPERN R.D.

Provider Business Mailing Address
First Line	:	3277 NE CATAMARAN TER
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4270
Country	:	US
Telephone Number	:	772-418-8527
Fax Number	:	530-733-2096

Provider Business Practice Location Address
First Line	:	3277 NE CATAMARAN TER
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4270
Country	:	US
Telephone Number	:	772-418-8527
Fax Number	:	530-733-2096

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	01/07/2013

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