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General NPI Number Information
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NPI Number | 1285771386
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Entity Type | Individual
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Provider Name | LISA DELANEY CAMHI RD MS LD/N
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 2201 NW CORPORATE BLVD SUITE 108
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City | BOCA RATON
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State | FL
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Zip | 33431-7337
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Country | US
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Telephone | 786-543-1044
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Fax | 561-807-6807
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Provider Business Mailing Address
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Address Line | 6678 NW 42ND WAY
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City | BOCA RATON
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State | FL
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Zip | 33496-4041
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Country | US
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Telephone | 786-543-1044
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Fax | 561-807-6807
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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 | ND3321
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License Number State | FL
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