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General NPI Number Information
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NPI Number | 1235079203
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Entity Type | Individual
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Provider Name | DANIELLE WRUBEL
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Gender | Female
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 15157 E PURDUE AVE APT G
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City | AURORA
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State | CO
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Zip | 80014-6177
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Country | US
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Telephone | 248-224-7482
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Fax |
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Provider Business Mailing Address
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Address Line | 6130 ORMOND RD
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City | WHITE LAKE
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State | MI
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Zip | 48383-1032
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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 |
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License Number State |
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