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General NPI Number Information
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NPI Number | 1023828829
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Entity Type | Organization
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Legal Business Name | NEW HORIZON NUTRITION, LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 13437 EMERALD CRYSTAL DR
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City | EL PASO
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State | TX
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Zip | 79928-2361
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Country | US
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Telephone | 612-842-9230
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Fax |
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Provider Business Mailing Address
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Address Line | 13437 EMERALD CRYSTAL DR
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City | EL PASO
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State | TX
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Zip | 79928-2361
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Country | US
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Telephone | 612-842-9230
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN - OWNER
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Name | DANIRABE LOWRY
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Credential | RD
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Telephone | 612-842-9230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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License Number State |
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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 |
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License Number State |
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