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Individual
MS. ERICA BLACKSBURG
Active
Individual
MS. ERICA BLACKSBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
849910
NY
133VN1004X
Pediatric Nutrition Registered Dietitian
849910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
849910
NY STATE EDUCATION DEPT- CERTIFIED DIETITIAN NUTRITIONIST
NY
Enumeration date
10/17/2008
Last updated
11/30/2010
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