| Organization Name: | DIANE R. DUBE LLC |
| NPI Number: | 1265586838 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE R DUBE (OWNER) |
| Mailing Address: | 2 First Avenue Centennial Crossing Suite 112 Peabody |
| State: | MA US |
| Postal Code: | 01960 |
| Phone Number: | 6172406383 |
| Fax Number: | 9787457982 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 748 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |