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General NPI Number Information
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NPI Number | 1063196079
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Entity Type | Individual
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Provider Name | ANNIE DUPRE RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 1130 TEN ROD RD STE B203
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4165
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Country | US
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Telephone | 401-398-2454
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Fax |
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Provider Business Mailing Address
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Address Line | 29 CLEVELAND ST APT 3
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City | WAKEFIELD
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State | RI
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Zip | 02879-3329
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Country | US
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Telephone | 401-585-6305
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LDN6632
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LDN1409
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License Number State | RI
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