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General NPI Number Information
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NPI Number | 1083564769
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Entity Type | Individual
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Provider Name | MARIA VICTORIA SHANKLIN MS, RDN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1280 E VILLA VISTA AVE UNIT 342
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City | MILLCREEK
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State | UT
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Zip | 84106-4750
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Country | US
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Telephone | 954-225-0407
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 E VILLA VISTA AVE UNIT 342
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City | MILLCREEK
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State | UT
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Zip | 84106-4750
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Country | US
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Telephone |
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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 |
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License Number State |
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