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General NPI Number Information
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NPI Number | 1215112248
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Entity Type | Individual
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Provider Name | ANGEL CHI CHI PLANELLS MS, RDN, FAND
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Gender | Male
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 8015 SE 28TH ST STE 304
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City | MERCER ISLAND
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State | WA
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Zip | 98040-2910
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Country | US
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Telephone | 206-232-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 915 N 77TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-4728
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Country | US
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Telephone | 917-682-8194
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | DI60231337
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License Number State | WA
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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 |
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License Number State | NULL
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