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General NPI Number Information
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NPI Number | 1639014087
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Entity Type | Individual
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Provider Name | TANNA BENEFIEL RDN
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Gender | Female
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 3941 HOUMA BLVD
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City | METAIRIE
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State | LA
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Zip | 70006-2920
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Country | US
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Telephone | 504-226-6280
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Fax |
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Provider Business Mailing Address
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Address Line | 552 HONORE DR
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City | JEFFERSON
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State | LA
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Zip | 70121-1605
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Country | US
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Telephone | 316-613-9001
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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 | 86420162
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License Number State | LA
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