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General NPI Number Information
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NPI Number | 1609797786
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Entity Type | Individual
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Provider Name | DENISE WESTBROOK RDN
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Gender | Female
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 9805 KINGSRIDGE DR
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City | LAKELAND
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State | TN
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Zip | 38002-7490
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Country | US
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Telephone | 731-446-5345
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Fax | 731-446-5345
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Provider Business Mailing Address
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Address Line | 9805 KINGSRIDGE DR
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City | LAKELAND
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State | TN
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Zip | 38002-7490
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Country | US
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Telephone | 731-446-5345
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Fax | 731-446-5345
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 2796
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License Number State | TN
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