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NPI 1699401083

NPI 1699401083 : NORA E BURNFIELD RDN : MOUNT VERNON, WA

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General NPI Number Information
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    NPI Number           |    1699401083
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    Entity Type          |    Individual 
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    Provider Name        |    NORA E BURNFIELD RDN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/27/2022
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    Last Update Date     |    02/24/2025
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Provider Practice Location Address
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    Address Line         |    1400 N LAVENTURE RD 
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    City                 |    MOUNT VERNON
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    State                |    WA
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    Zip                  |    98273-2766
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    Country              |    US
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    Telephone            |    360-848-6616
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    Fax                  |    360-542-8903
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Provider Business Mailing Address
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    Address Line         |    PO BOX 34703 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98124-1703
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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        |    133VN1004X
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    Taxonomy Name        |    Pediatric Nutrition Registered Dietitian
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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        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    DI61337125
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    License Number State |    WA
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