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General NPI Number Information
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NPI Number | 1891885992
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Entity Type | Individual
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Provider Name | KELLI MICHELE METZGER MS, RD, LDN, CDE
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 2150 PENNSYLVANIA AVE, NW, SUITE 4-417 GW HEART AND VASCULAR INSTITUTE
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City | WASHINGTON
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State | DC
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Zip | 20037
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Country | US
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Telephone | 202-741-2579
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Fax |
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Provider Business Mailing Address
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Address Line | 5911 LEBANON LN
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City | ELKRIDGE
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State | MD
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Zip | 21075-5142
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Country | US
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Telephone | 919-986-2508
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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 | DO2218
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License Number State | MD
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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 | D1100000590
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License Number State | DC
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