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General NPI Number Information
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NPI Number | 1619308608
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Entity Type | Individual
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Provider Name | RAQUEL ROBLES RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 12/02/2013
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 6200 BENTLEY AVE
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City | WILLOWBROOK
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State | IL
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Zip | 60527-1963
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Country | US
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Telephone | 708-691-2382
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Fax | 224-220-5064
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Provider Business Mailing Address
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Address Line | 6200 BENTLEY AVE
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City | WILLOWBROOK
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State | IL
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Zip | 60527-1963
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Country | US
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Telephone | 708-691-2382
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Fax | 224-220-5064
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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 | 164.005838
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License Number State | IL
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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 | 164.005838
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2024034004
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 164.005838
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 164.005838
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | 164.005838
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 133VN1101X
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Taxonomy Name | Gerontological Nutrition Registered Dietitian
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License Number | 164.005838
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | 164.005838
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 133VN1301X
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Taxonomy Name | Oncology Nutrition Registered Dietitian
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License Number | 164.005838
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 133VN1501X
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Taxonomy Name | Sports Dietetics Nutrition Registered Dietitian
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License Number | 164.005838
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License Number State | IL
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Taxonomy #11
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 164.005838
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License Number State | IL
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Taxonomy #12
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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