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NPI 1720211956

NPI 1720211956 : GET DIABETES EDUCATION LLC : LONGVIEW, TX

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General NPI Number Information
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    NPI Number           |    1720211956
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    Entity Type          |    Organization 
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    Legal Business Name  |    GET DIABETES EDUCATION LLC 
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Dates
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    Enumeration Date     |    09/04/2009
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    Last Update Date     |    04/05/2026
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Provider Practice Location Address
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    Address Line         |    303 W LOOP 281 STE 110-139 
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    City                 |    LONGVIEW
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    State                |    TX
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    Zip                  |    75605-4470
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    Country              |    US
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    Telephone            |    903-918-0120
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    Fax                  |    903-213-9281
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Provider Business Mailing Address
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    Address Line         |    303 W LOOP 281 STE 110-139 
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    City                 |    LONGVIEW
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    State                |    TX
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    Zip                  |    75605-4470
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    Country              |    US
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    Telephone            |    903-218-7558
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    Fax                  |    903-213-9281
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KATHRYN MAY MCKINNEY 
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    Credential           |    RDN, LDN, CDCES
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    Telephone            |    903-218-7558
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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       |    DT04301
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    License Number State |    TX
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