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General NPI Number Information
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NPI Number | 1922285154
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Entity Type | Organization
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Legal Business Name | DIABETES & NUTRITION EDUCATORS, LLC
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/05/2018
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Provider Practice Location Address
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Address Line | 100 LYNN DR
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City | LAFAYETTE
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State | LA
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Zip | 70508-4512
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Country | US
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Telephone | 337-654-5971
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Fax | 337-330-2581
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Provider Business Mailing Address
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Address Line | 15455 MANCHESTER RD UNIT 13
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City | BALLWIN
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State | MO
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Zip | 63022-5002
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Country | US
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Telephone | 337-207-9343
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Fax | 866-438-4042
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Authorized Official
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Title or Position | OWNER
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Name | MS. MELISSA LYNN ARMATTA
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Credential | LDN,RD,CDE
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Telephone | 337-207-9343
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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 | 1008
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License Number State | LA
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