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NPI 1689195737

NPI 1689195737 : ARIEL WARREN RD, RDN : ANNA, TX

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General NPI Number Information
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    NPI Number           |    1689195737
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    Entity Type          |    Individual 
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    Provider Name        |    ARIEL WARREN RD, RDN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/29/2017
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    Last Update Date     |    02/22/2023
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Provider Practice Location Address
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    Address Line         |    8970 COUNTY ROAD 512 
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    City                 |    ANNA
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    State                |    TX
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    Zip                  |    75409-8006
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    Country              |    US
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    Telephone            |    801-920-1453
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    Fax                  |    801-702-8143
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Provider Business Mailing Address
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    Address Line         |    546 FAIR DR 
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    City                 |    ROCKWALL
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    State                |    TX
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    Zip                  |    75087-6797
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    Country              |    US
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    Telephone            |    801-920-1453
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    Fax                  |    801-702-8143
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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       |    86079020
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    License Number State |    UT
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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       |    10434924-4901
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    License Number State |    UT
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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       |    DT88349
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    License Number State |    TX
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