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General NPI Number Information
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NPI Number | 1487701603
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Entity Type | Individual
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Provider Name | JOYCE BARBARA BERENSON R.D., C.D.E.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 07/06/2017
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Provider Practice Location Address
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Address Line | 45740 PALMETTO WAY
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City | TEMECULA
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State | CA
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Zip | 92592-6059
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Country | US
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Telephone | 951-676-0285
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Fax | 951-676-3225
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Provider Business Mailing Address
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Address Line | 45740 PALMETTO WAY
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City | TEMECULA
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State | CA
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Zip | 92592
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Country | US
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Telephone | 951-676-0285
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Fax | 844-249-5571
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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 | 832911
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License Number State | CA
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