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General NPI Number Information
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NPI Number | 1184349193
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Entity Type | Individual
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Provider Name | JANE GUO MCN, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 1801 PEACHTREE ST NE STE 350
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City | ATLANTA
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State | GA
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Zip | 30309-1895
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Country | US
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Telephone | 770-756-6291
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 PEACHTREE ST NE STE 350
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City | ATLANTA
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State | GA
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Zip | 30309-1895
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Country | US
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Telephone | 770-756-6291
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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 | LD007162
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License Number State | GA
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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 | DT88019
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License Number State | TX
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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 | LD-D-10262703
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License Number State | OR
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