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General NPI Number Information
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NPI Number | 1144505199
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Entity Type | Individual
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Provider Name | ISABELLE FAUCHER RD LD CSR CDE
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Gender | Female
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 12/11/2015
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Provider Practice Location Address
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Address Line | 4522 EXECUTIVE DR UNIT 103
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City | NAPLES
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State | FL
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Zip | 34119
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Country | US
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Telephone | 954-464-5839
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Fax |
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Provider Business Mailing Address
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Address Line | 4522 EXECUTIVE DR UNIT 103
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City | NAPLES
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State | FL
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Zip | 34119
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Country | US
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Telephone | 954-464-5839
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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 | ND2784
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License Number State | FL
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