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General NPI Number Information
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NPI Number | 1255127767
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Entity Type | Individual
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Provider Name | ANITA S SOULE RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 15655 AIRLINE HWY UNIT 8
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-2305
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Country | US
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Telephone | 225-434-4111
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Fax |
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Provider Business Mailing Address
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Address Line | 15655 AIRLINE HWY UNIT 8
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-2305
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 3814
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 1539
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License Number State | MS
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1539
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 3814
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License Number State | LA
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