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General NPI Number Information
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NPI Number | 1437400512
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Entity Type | Individual
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Provider Name | ALLISON BERAN RIEDERER MS, RD
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Gender | Female
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Dates
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Enumeration Date | 09/28/2012
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 160 E 12TH ST STE 1
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City | DURANGO
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State | CO
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Zip | 81301-5261
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Country | US
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Telephone | 970-239-1531
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Fax |
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Provider Business Mailing Address
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Address Line | 302 FIR DR
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City | DURANGO
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State | CO
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Zip | 81301-7582
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Country | US
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Telephone | 970-239-1531
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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 | 1090133
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License Number State | CO
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