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General NPI Number Information
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NPI Number | 1992100481
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Entity Type | Individual
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Provider Name | INSHAALLAH HEPHZIBAH RDN, LD L.L.C.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 1607 NANDINA DR. ARLINGTON TX
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City | ARLINGTON
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State | TX
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Zip | 76014
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Country | US
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Telephone | 817-690-9298
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Fax |
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Provider Business Mailing Address
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Address Line | 5904 S COOPER ST STE 1041012
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City | ARLINGTON
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State | TX
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Zip | 76017-4420
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Country | US
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Telephone | 817-690-9298
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | DT82667
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License Number State | TX
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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 | DT82667
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License Number State | TX
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