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General NPI Number Information
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NPI Number | 1649625914
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Entity Type | Organization
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Legal Business Name | DANS-DIABETES AND NUTRITION SERVICES, LLC
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 204 SEZANNE DR
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City | LITTLE ROCK
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State | AR
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Zip | 72223-5094
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Country | US
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Telephone | 501-830-3115
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Fax |
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Provider Business Mailing Address
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Address Line | 204 SEZANNE DR
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City | LITTLE ROCK
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State | AR
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Zip | 72223-5094
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Country | US
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Telephone | 501-830-3115
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Fax |
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Authorized Official
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Title or Position | FOUNDER, OWNER AND CEO
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Name | MRS. JENNIFER I HALL
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Credential | MS, RDN, LDN, CDCES
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Telephone | 501-703-0882
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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 | D02066
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 133VN1501X
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Taxonomy Name | Sports Dietetics Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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