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General NPI Number Information
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NPI Number | 1780761940
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Entity Type | Individual
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Provider Name | JULIE ANNE SHISLER MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4500 S LANCASTER RD
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City | DALLAS
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State | TX
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Zip | 75216-7167
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Country | US
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Telephone | 214-857-1739
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Fax |
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Provider Business Mailing Address
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Address Line | 901 LEADVILLE DR
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City | ARLINGTON
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State | TX
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Zip | 76001-8519
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Country | US
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Telephone | 817-473-7809
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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 | DT07542
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License Number State | TX
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