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NPI Code Detail

MEDICARE: JEANNE ANN CAHILL MS, RD, CDE

MEDICARE: JEANNE ANN CAHILL MS, RD, CDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian924065AZ

General Provider Information

NPI Number : 1255372785
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE ANN CAHILL MS, RD, CDE
Provider Business Mailing Address
First Line : 121 S KENNETH PL
Second Line :
City : CHANDLER
State : AZ
Zip : 85226-4813
Country : US
Telephone Number : 480-961-4967
Fax Number :
Provider Business Practice Location Address
First Line : 500 W THOMAS RD STE 600
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4221
Country : US
Telephone Number : 602-406-1140
Fax Number : 602-406-1149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/23/2019

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