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General NPI Number Information
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NPI Number | 1477258705
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Entity Type | Individual
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Provider Name | MADELINE BUTLER-SANCHEZ MS, RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 1240 IROQUOIS AVE STE 500C
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City | NAPERVILLE
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State | IL
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Zip | 60563-8536
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Country | US
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Telephone | 847-857-6910
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 28
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City | NAPERVILLE
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State | IL
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Zip | 60566-0028
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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