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General NPI Number Information
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NPI Number | 1043178627
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Entity Type | Organization
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Legal Business Name | NUTRITION A LA VICTOIRE LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 222 E BLAND ST UNIT 363
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City | CHARLOTTE
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State | NC
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Zip | 28203-6183
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Country | US
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Telephone | 704-559-9889
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Fax |
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Provider Business Mailing Address
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Address Line | 222 E BLAND ST UNIT 363
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City | CHARLOTTE
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State | NC
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Zip | 28203-6183
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Country | US
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Telephone | 704-559-9889
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Fax |
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Authorized Official
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Title or Position | OWNER, LEAD DIETITIAN
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Name | VICTOIRE OMOU
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Credential | MS, RDN
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Telephone | 704-559-9889
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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 |
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