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General NPI Number Information
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NPI Number | 1568907020
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Entity Type | Individual
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Provider Name | ANITA FLORENCE ANIM MPH, RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | CENTRE SQUARE EAST 1500 MARKET STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2100
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Country | US
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Telephone | 215-731-6150
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Fax |
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Provider Business Mailing Address
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Address Line | CENTRE SQUARE EAST 1500 MARKET STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2100
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Country | US
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Telephone | 215-731-6150
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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 | DN005797
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License Number State | PA
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