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General NPI Number Information
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NPI Number | 1215554209
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Entity Type | Individual
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Provider Name | JOSEPH ALBRECHT RDN
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Gender | Male
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 913 NW GARDEN VALLEY BLVD
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City | ROSEBURG
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State | OR
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Zip | 97471-6523
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Country | US
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Telephone | 541-441-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2756 NW EDENBOWER BLVD APT 14
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City | ROSEBURG
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State | OR
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Zip | 97471-6257
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Country | US
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Telephone | 516-214-3602
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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 | 86030401
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License Number State | NY
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