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General NPI Number Information
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NPI Number | 1093199622
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Entity Type | Individual
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Provider Name | MERCY AREMU RD,LDN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 2330 SCENIC HWY S STE 203
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City | SNELLVILLE
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State | GA
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Zip | 30078-3115
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Country | US
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Telephone | 770-881-8651
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3021
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City | LOGANVILLE
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State | GA
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Zip | 30052-1968
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Country | US
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Telephone | 704-691-3055
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | L004135
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal 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 | 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 #4
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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 #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD004073
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License Number State | GA
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