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Individual

CAITLYN B FAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPH, RD, LDN, CDCES

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN6769
MA
133VN1004X
Pediatric Nutrition Registered Dietitian
6769
MA

Other

Enumeration date
03/03/2023
Last updated
11/21/2023
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