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Individual
MRS. RITA M ROSE
Active
Individual
MRS. RITA M ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
002009
NY
133V00000X
Registered Dietitian
Primary
002009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002009
LIC NUMBER
NY
05
—
00355931
—
NY
Enumeration date
02/20/2008
Last updated
02/20/2008
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