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General NPI Number Information
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NPI Number | 1902206634
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Entity Type | Individual
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Provider Name | CELESTE PANELY M.S. R.D.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 3725 SW WHISPERING SOUND DR
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City | PALM CITY
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State | FL
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Zip | 34990-7735
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Country | US
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Telephone | 619-992-3943
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Fax |
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Provider Business Mailing Address
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Address Line | 3725 SW WHISPERING SOUND DR
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City | PALM CITY
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State | FL
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Zip | 34990-7735
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Country | US
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Telephone | 619-992-3943
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Fax | 619-566-4160
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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 | 876458
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License Number State | CA
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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 | ND9209
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License Number State | FL
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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 | 876458
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License Number State | CA
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Taxonomy #4
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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 | ND9209
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License Number State | FL
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