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General NPI Number Information
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NPI Number | 1215457890
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Entity Type | Individual
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Provider Name | ELIZABETH SMITH ZAREMBA RD, LD, CNSC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 06/27/2017
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Provider Practice Location Address
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Address Line | 205 WABASHA ST S MAIL STOP 31300A
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City | ST PAUL
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State | MN
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Zip | 55107
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Country | US
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Telephone | 952-833-7752
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1309 MAIL STOP 21110Q
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City | MINNEAPOLIS
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State | MN
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Zip | 55440-1309
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Country | US
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Telephone |
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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 | 3278
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License Number State | MN
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