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General NPI Number Information
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NPI Number | 1811474695
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Entity Type | Individual
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Provider Name | EMILY ROSE CONYERS MS, RDN, LD/N
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Gender | Female
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 12866 DAYBREAK CT E
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City | JACKSONVILLE
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State | FL
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Zip | 32246-7095
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Country | US
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Telephone | 904-497-0401
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Fax | 833-773-1288
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Provider Business Mailing Address
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Address Line | 12866 DAYBREAK CT E
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City | JACKSONVILLE
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State | FL
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Zip | 32246-7095
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Country | US
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Telephone | 904-497-0401
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Fax | 833-773-1288
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | ND7660
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | LD006417IU
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | ND7660
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD006417IU
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | LD006417IU
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | ND7660
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 133VN1101X
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Taxonomy Name | Gerontological Nutrition Registered Dietitian
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License Number | ND7660
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | LD006417IU
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | ND7660
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 133VN1501X
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Taxonomy Name | Sports Dietetics Nutrition Registered Dietitian
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License Number | ND7660
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND7660
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License Number State | FL
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