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Dietary & Nutritional Service Providers Dietitian, Registered

Provider NPI: 1558768663

Organization Information:
Organization is Subpart
Authorized Official:  ROBERT  ROCK  DIRECTOR  401-435-7800

Practice Location:
Tel: 401-435-7800  Fax: 401-435-7803

Business Mailing Address:
Tel: 401-435-7800  Fax: 401-435-7803

NPI Information:
NPI: 1558768663
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
N133VN1006XDietary & Nutritional Service Providers
Dietitian, Registered
Y133NN1002XDietary & Nutritional Service Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 133NN1002X





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