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General NPI Number Information
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NPI Number | 1841323078
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Entity Type | Individual
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Provider Name | ELAINE KAY MITCHELL R.D., L.D., C.D.E.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1515 DELHI ST STE 100
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City | DUBUQUE
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State | IA
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Zip | 52001-6320
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Country | US
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Telephone | 563-557-9111
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Fax | 563-589-4063
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Provider Business Mailing Address
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Address Line | 1515 DELHI ST STE 100
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City | DUBUQUE
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State | IA
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Zip | 52001-6320
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Country | US
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Telephone | 563-557-9111
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Fax | 563-589-4063
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 00427
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 1489-029
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number |
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License Number State | IL
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