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General NPI Number Information
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NPI Number | 1528436169
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Entity Type | Individual
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Provider Name | MRS. DIANE SAADE
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Gender | Female
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Dates
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Enumeration Date | 09/14/2015
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 2101 E JEFFERSON ST
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City | ROCKVILLE
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State | MD
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Zip | 20852-4908
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Country | US
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Telephone | 301-816-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 5636 HEMING AVE
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City | SPRINGFIELD
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State | VA
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Zip | 22151-2708
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 960230
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License Number State | MD
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