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General NPI Number Information
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NPI Number | 1689811028
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Entity Type | Individual
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Provider Name | CHRISTINE R ZIMMERMAN MPH RD CDE
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Gender | Female
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 03/29/2019
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Provider Practice Location Address
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Address Line | 1536 COLE BLVD STE 120
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City | LAKEWOOD
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State | CO
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Zip | 80401-3405
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Country | US
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Telephone | 720-284-7276
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Fax |
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Provider Business Mailing Address
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Address Line | 1536 COLE BLVD STE 120
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City | LAKEWOOD
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State | CO
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Zip | 80401-3405
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Country | US
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Telephone | 720-284-7276
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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 |
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License Number State |
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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 | 174H00000X
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Taxonomy Name | Health Educator
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 861154
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License Number State | CO
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