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General NPI Number Information
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NPI Number | 1346404514
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Entity Type | Individual
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Provider Name | DANENE JANA MOBERLY MPH, RD, LD, CDE
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Gender | Female
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 2495 S BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4332
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Country | US
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Telephone | 832-237-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 21212 NORTHWEST FWY STE 405
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City | CYPRESS
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State | TX
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Zip | 77429-5887
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Country | US
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Telephone | 832-237-3500
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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 | DT83686
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License Number State | TX
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