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General NPI Number Information
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NPI Number | 1669364790
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Entity Type | Individual
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Provider Name | ALLISON ANDRADE RD LDN
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Gender | Female
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 110 SAW MILL DR
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-2538
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Country | US
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Telephone | 860-857-9420
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 300
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-0300
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Country | US
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Telephone |
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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 | 10259990
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License Number State | OR
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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 | LDN01575
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License Number State | RI
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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 | LDN7034
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 002463
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License Number State | CT
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