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General NPI Number Information
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NPI Number | 1346840782
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Entity Type | Individual
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Provider Name | LILLIAN DELATORE RDN
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Gender | Female
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 1 CHILDRENS PLZ
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City | DAYTON
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State | OH
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Zip | 45404-1873
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Country | US
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Telephone | 937-641-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 338 LONSDALE AVE
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City | OAKWOOD
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State | OH
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Zip | 45419-3248
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Country | US
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Telephone | 937-271-8115
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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 |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD.08873
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License Number State | OH
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