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General NPI Number Information
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NPI Number | 1073822052
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Entity Type | Individual
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Provider Name | BETH ELLEN DILUGLIO MS, RD, CCN, LD/N
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Gender | Female
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Dates
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Enumeration Date | 09/24/2010
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Last Update Date | 09/24/2010
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Provider Practice Location Address
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Address Line | 2260 21ST ST SW
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City | NAPLES
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State | FL
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Zip | 34117-4606
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Country | US
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Telephone | 561-247-2384
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Fax |
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Provider Business Mailing Address
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Address Line | 2260 21ST ST SW
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City | NAPLES
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State | FL
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Zip | 34117-4606
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Country | US
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Telephone | 561-247-2384
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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 | ND2046
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | ND2046
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License Number State | FL
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