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General NPI Number Information
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NPI Number | 1073773883
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Entity Type | Individual
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Provider Name | JANE LYNN SYLVESTRE DCN, RDN, CSOWM, LDN
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Gender | Female
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Dates
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Enumeration Date | 06/15/2008
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 4 TRAILSIDE WAY
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City | BRIDGTON
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State | ME
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Zip | 04009
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Country | US
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Telephone | 401-286-2015
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1026
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City | BRIDGTON
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State | ME
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Zip | 04009-1026
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Country | US
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Telephone | 401-286-2015
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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 | 2718
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License Number State | MA
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