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Individual
MS. BETHANY LYNNE BAITS
Active
Individual
MS. BETHANY LYNNE BAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006663
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103606489
—
PA
01
—
14418350
CAQH
—
Enumeration date
02/13/2019
Last updated
10/06/2020
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