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General NPI Number Information
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NPI Number | 1083846158
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Entity Type | Individual
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Provider Name | ISABEL A QUIJANO RD, LD/N
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Gender | Female
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 19172 LONG LAKE RANCH BLVD
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City | LUTZ
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State | FL
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Zip | 33558-5508
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Country | US
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Telephone | 727-271-0665
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Fax |
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Provider Business Mailing Address
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Address Line | 19172 LONG LAKE RANCH BLVD
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City | LUTZ
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State | FL
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Zip | 33558-5508
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Country | US
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Telephone | 727-271-8536
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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 | 5580
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License Number State | FL
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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 | 164.012412
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT92460
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License Number State | TX
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