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General NPI Number Information
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NPI Number | 1427076025
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Entity Type | Individual
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Provider Name | JULIE M OPP RDN, CD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 5373 S GREEN ST STE 400
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City | SALT LAKE CITY
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State | UT
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Zip | 84123-4740
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Country | US
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Telephone | 801-507-2477
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Fax | 712-442-0196
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Provider Business Mailing Address
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Address Line | 5121 S COTTONWOOD ST BLDG 5
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City | SALT LAKE CITY
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State | UT
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Zip | 84107-5701
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Country | US
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Telephone | 801-507-2477
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Fax | 712-442-0196
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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 | 00893
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License Number State | IA
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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 | 10864953-4901
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License Number State | UT
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