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General NPI Number Information
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NPI Number | 1104534304
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Entity Type | Individual
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Provider Name | ANA FLORENCIA MOYEDA CARABAZA PHD, RDN, LD, LMNT
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Gender | Female
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 405 LONDONDERRY DR STE 301
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City | WACO
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State | TX
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Zip | 76712-7922
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Country | US
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Telephone | 254-537-6530
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Fax | 254-537-6531
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Provider Business Mailing Address
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Address Line | 379 CAVITT CT
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City | WACO
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State | TX
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Zip | 76706-4815
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Country | US
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Telephone | 806-548-7994
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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 | 1640
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License Number State | NE
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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 | DT89982
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | DT89982
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT89982
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | DT89982
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License Number State | TX
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