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General NPI Number Information
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NPI Number | 1053098780
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Entity Type | Organization
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Legal Business Name | TIME TO MELT
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Dates
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Enumeration Date | 07/04/2023
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Last Update Date | 07/04/2023
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Provider Practice Location Address
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Address Line | 4205 W BURBANK BLVD STE 101
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City | BURBANK
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State | CA
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Zip | 91505-2114
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Country | US
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Telephone | 818-605-1026
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Fax | 334-746-5457
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Provider Business Mailing Address
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Address Line | 4205 W BURBANK BLVD STE 101
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City | BURBANK
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State | CA
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Zip | 91505-2114
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Country | US
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Telephone | 818-605-1026
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Fax | 334-746-5457
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Authorized Official
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Title or Position | OWNER
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Name | GIORDANO CASTRANOVA
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Credential | RD, RDN
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Telephone | 818-605-1026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1501X
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Taxonomy Name | Sports Dietetics Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #5
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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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