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General NPI Number Information
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NPI Number | 1093014201
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Entity Type | Individual
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Provider Name | COURTNEY ANN SLATER MS, RDN, LD, CDCES
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Gender | Female
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 4815 MAPLE DR
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City | PLEASANT HILL
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State | IA
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Zip | 50327-2028
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Country | US
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Telephone | 515-262-7944
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 CORPORATE DR STE 100
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5906
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Country | US
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Telephone | 515-329-6800
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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 | DT87058
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License Number State | TX
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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 | 164005867
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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 | 001961
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License Number State | IA
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