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Individual
BENJAMIN SCOTT HUNGERFORD
Active
Individual
BENJAMIN SCOTT HUNGERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, CD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
5160-29
WI
133V00000X
Registered Dietitian
Primary
86085019
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5160-29
CERTIFIED DIETITIAN LICENSE
WI
01
—
86085019
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
01/23/2024
Last updated
01/23/2024
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