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General NPI Number Information
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NPI Number | 1942574454
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Entity Type | Individual
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Provider Name | ANN ELIZABETH REDWINE RD, LD, CDE
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Gender | Female
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 6500 WEST LOOP S STE 200B
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City | BELLAIRE
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State | TX
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Zip | 77401-3535
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Country | US
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Telephone | 713-486-2919
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Fax |
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Provider Business Mailing Address
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Address Line | 29030 ZACATE CREEK LN
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City | FULSHEAR
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State | TX
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Zip | 77441-1878
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Country | US
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Telephone | 501-515-2000
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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 |
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License Number State |
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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 | 1283
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT85778
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License Number State | TX
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