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General NPI Number Information
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NPI Number | 1336261866
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Entity Type | Individual
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Provider Name | PATTI ANNE ZESSIN RD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 04/01/2015
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Provider Practice Location Address
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Address Line | 810 1ST AVE NE
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City | CEDAR RAPIDS
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State | IA
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Zip | 52402-5061
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Country | US
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Telephone | 319-369-8143
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Fax |
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Provider Business Mailing Address
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Address Line | 5305 SMITHLAND DR
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City | MARION
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State | IA
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Zip | 52302-9777
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Country | US
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Telephone | 319-929-0918
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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 | 00741
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License Number State | IA
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