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General NPI Number Information
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NPI Number | 1922965433
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Entity Type | Individual
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Provider Name | LISA ELLEN PERRETT MS, RD, CSSD, LD
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3950 GOODPASTURE LOOP
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City | EUGENE
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State | OR
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Zip | 97401-1578
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Country | US
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Telephone | 805-535-8467
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Fax |
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Provider Business Mailing Address
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Address Line | 5450 TELEGRAPH RD STE 104
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City | VENTURA
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State | CA
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Zip | 93003-4130
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Country | US
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Telephone |
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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 | 10237515
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License Number State | OR
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