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Individual
STEVEN PERRY FIKE
Active
Individual
STEVEN PERRY FIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D. L.D,
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT0369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20720490
NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
—
01
—
654562
COMMISSION ON DIETETIC REGISTRATION
—
01
—
DT03369
TX BOARD OF EXAMINERS OF DIETITIANS LICENSCE NUMBER
TX
Enumeration date
11/26/2012
Last updated
11/26/2012
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