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General NPI Number Information
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NPI Number | 1710627559
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Entity Type | Individual
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Provider Name | REBECCA D GUIDROZ RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 10310 THE GROVE BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70836-6455
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Country | US
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Telephone | 225-761-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 9412 GLYNNS LN
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City | SAINT FRANCISVILLE
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State | LA
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Zip | 70775-9528
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Country | US
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Telephone | 225-278-7267
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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 | 2328
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License Number State | LA
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