=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184258261
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAIGE E DANDO RDN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/27/2020
-----------------------------------------------------
Last Update Date | 03/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6850 LOWS RD STE 325B
-----------------------------------------------------
City | BLOOMSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17815-8708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-784-5545
-----------------------------------------------------
Fax | 570-245-0240
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7 DOCK HILL RD
-----------------------------------------------------
City | MIDDLEBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17842-8910
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-837-2123
-----------------------------------------------------
Fax | 570-837-2185
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | DN007310
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------