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General NPI Number Information
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NPI Number | 1114439155
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Entity Type | Individual
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Provider Name | DALILA ISABEL RUIZ RD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 11801 PIERCE ST STE 200
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City | RIVERSIDE
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State | CA
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Zip | 92505-4400
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Country | US
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Telephone | 509-868-0488
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Fax | 844-605-1799
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Provider Business Mailing Address
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Address Line | 4610 W PARK VIEW LN
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City | SPOKANE
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State | WA
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Zip | 99205-7719
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Country | US
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Telephone | 509-868-0488
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Fax | 844-605-1799
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 86040318
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License Number State | CA
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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 | 86040318
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License Number State | CA
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