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General NPI Number Information
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NPI Number | 1437231073
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Entity Type | Individual
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Provider Name | DIANNE VAN TREECK MS,RD,CDE,LD/N
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 04/29/2016
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Provider Practice Location Address
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Address Line | 1375 GATEWAY BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8304
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Country | US
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Telephone | 561-737-1070
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Fax | 561-536-0411
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Provider Business Mailing Address
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Address Line | 1375 GATEWAY BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8304
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Country | US
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Telephone | 561-737-1070
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Fax | 561-536-0411
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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 | ND 849
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License Number State | FL
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