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NPI Code Detail

MEDICARE: MRS. MARIE E DYE RD, LDN

MEDICARE: MRS. MARIE E DYE RD, LDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDN-0000407DE

General Provider Information

NPI Number : 1295005288
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIE E DYE RD, LDN
Provider Business Mailing Address
First Line : 134 CLARK CT
Second Line :
City : DOVER
State : DE
Zip : 19901-6540
Country : US
Telephone Number : 302-531-0418
Fax Number :
Provider Business Practice Location Address
First Line : 239 OLD NORTH RD
Second Line :
City : CAMDEN
State : DE
Zip : 19934-1241
Country : US
Telephone Number : 302-698-4280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2012
Last Update Date : 01/06/2012

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