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General NPI Number Information
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NPI Number | 1225793755
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Entity Type | Individual
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Provider Name | ANGELA ZAHAROULA TSAGARAKIS RDN
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Gender | Female
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Dates
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Enumeration Date | 10/31/2021
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Last Update Date | 10/31/2021
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Provider Practice Location Address
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Address Line | 6600 CHASE OAKS BLVD STE 150
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City | PLANO
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State | TX
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Zip | 75023-2383
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Country | US
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Telephone | 469-939-1047
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Fax |
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Provider Business Mailing Address
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Address Line | 4343 CONGRESS AVE APT 450
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City | DALLAS
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State | TX
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Zip | 75219-2667
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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 | DT86741
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License Number State | TX
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