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General NPI Number Information
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NPI Number | 1659701019
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Entity Type | Individual
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Provider Name | DEANNA MARIE NARA MS, CNS, LDN
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Gender | Female
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 4908 BERWYN RD
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City | COLLEGE PARK
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State | MD
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Zip | 20740-2111
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Country | US
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Telephone | 301-474-8791
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 WASHINGTON PL NE APT. 428
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City | WASHINGTON
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State | DC
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Zip | 20018-1053
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Country | US
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Telephone | 240-315-3778
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | DX3515
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License Number State | MD
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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 | DX3515
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License Number State | MD
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