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Individual
MOLLY TARBY
Active
Individual
MOLLY TARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
212
AK
133VN1004X
Pediatric Nutrition Registered Dietitian
LD0780
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619753
—
AK
Enumeration date
10/15/2010
Last updated
10/17/2016
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