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General NPI Number Information
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NPI Number | 1285005199
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Entity Type | Individual
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Provider Name | ANDREA MARIA DIETZ VON HELMS MS, RD, CD
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Gender | Female
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 725 AMERICAN AVE
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 262-928-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 13570 W RADISSON DR
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City | NEW BERLIN
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State | WI
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Zip | 53151-7536
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Country | US
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Telephone | 708-284-0501
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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 | 2928 - 29
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License Number State | WI
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