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General NPI Number Information
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NPI Number | 1457202905
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Entity Type | Individual
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Provider Name | ISABEL ZIMMERMANN MS, RD, LDN
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Gender |
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 3302 WATERFORD GLEN LN
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City | CLEMMONS
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State | NC
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Zip | 27012-9878
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Country | US
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Telephone | 336-354-5316
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Fax |
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Provider Business Mailing Address
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Address Line | 3302 WATERFORD GLEN LN
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City | CLEMMONS
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State | NC
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Zip | 27012-9878
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Country | US
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Telephone |
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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 | D-2808
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License Number State | MS
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