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General NPI Number Information
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NPI Number | 1841597929
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Entity Type | Individual
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Provider Name | DANERIS A. MORALES RDN, LD
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Gender | Female
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 780 S ASH LN
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City | CORNVILLE
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State | AZ
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Zip | 86325-5202
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Country | US
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Telephone | 352-660-9073
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Fax |
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Provider Business Mailing Address
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Address Line | 780 S ASH LN
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City | CORNVILLE
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State | AZ
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Zip | 86325-5202
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Country | US
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Telephone | 352-660-9073
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | ND7020
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1004951
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License Number State |
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