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NPI Code Detail

MEDICARE: REBECCA PAQUETTE RD

MEDICARE: REBECCA PAQUETTE RD
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 Dietitian

General Provider Information

NPI Number : 1952949745
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA PAQUETTE RD
Provider Business Mailing Address
First Line : 1650 COCHRANE CIR
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-526-7000
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR UNIT MEDDAC
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4604
Country : US
Telephone Number : 719-526-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2019
Last Update Date : 05/15/2026

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