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General NPI Number Information
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NPI Number | 1780152769
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Entity Type | Individual
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Provider Name | REBECCA ZINKOWSKI RD, LD, CNSC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 22 BRAMHALL ST
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City | PORTLAND
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State | ME
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Zip | 04102-3175
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Country | US
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Telephone | 207-662-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BRAMHALL ST APT 4
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City | PORTLAND
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State | ME
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Zip | 04102-3122
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Country | US
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Telephone | 603-793-3221
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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 | 0926
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License Number State | NH
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