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General NPI Number Information
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NPI Number | 1972227643
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Entity Type | Individual
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Provider Name | ISABEL MARIE MAPLES RDN
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Gender | Female
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 15195 HEATHCOTE BLVD STE 350
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City | HAYMARKET
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State | VA
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Zip | 20169-6244
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Country | US
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Telephone | 571-284-3440
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 936952
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City | ATLANTA
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State | GA
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Zip | 31193-6952
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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 | 654955
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License Number State | VA
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