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General NPI Number Information
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NPI Number | 1861850646
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Entity Type | Individual
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Provider Name | DANIELLE LYNN SAUBERT RDN
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Gender | Female
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 02/08/2016
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Provider Practice Location Address
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Address Line | 576 BIELENBERG DR
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City | WOODBURY
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State | MN
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Zip | 55125-1734
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Country | US
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Telephone | 651-645-5323
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Fax | 651-348-3355
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Provider Business Mailing Address
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Address Line | 1085 HASSELL RD
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-2659
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Country | US
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Telephone | 847-507-9702
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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 | 3663
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License Number State | MN
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