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General NPI Number Information
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NPI Number | 1548361397
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Entity Type | Individual
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Provider Name | LORI DENISE KLEINFIELD RD LD CDE
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 9330 POPPY DR STE 302
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City | DALLAS
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State | TX
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Zip | 75218-4621
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Country | US
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Telephone | 214-660-2020
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Fax | 214-660-2017
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Provider Business Mailing Address
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Address Line | 4560 CROWN RIDGE DR
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City | PLANO
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State | TX
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Zip | 75024-5219
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Country | US
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Telephone | 972-365-3626
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | DTO5436
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License Number State | TX
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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 | DTO5436
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | DTO5436
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | DTO5436
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | DT05436
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License Number State | TX
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