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General NPI Number Information
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NPI Number | 1972777233
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Entity Type | Organization
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Legal Business Name | DUPAGE DIETITIANS
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 3080 OGDEN AVE #104
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City | LISLE
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State | IL
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Zip | 60532-1691
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Country | US
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Telephone | 630-839-9296
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Fax | 630-364-1873
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Provider Business Mailing Address
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Address Line | 3080 OGDEN AVE #104
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City | LISLE
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State | IL
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Zip | 60532-1691
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Country | US
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Telephone | 630-839-9296
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Fax | 630-364-1873
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Authorized Official
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Title or Position | CO-OWNER
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Name | VICTORIA ROSENFELD
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Credential | RD, LDN
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Telephone | 630-839-9296
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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 | IL
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