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General NPI Number Information
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NPI Number | 1093598559
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Entity Type | Organization
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Legal Business Name | OTUM HEALTH MANAGEMENT LLC
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 5951 SOUTH LOOP
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City | HOUSTON
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State | TX
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Zip | 77033-1053
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Country | US
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Telephone | 917-737-2754
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Fax |
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Provider Business Mailing Address
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Address Line | 5951 SOUTH LOOP
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City | KATY
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State | TX
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Zip | 77033-1053
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GRACE C OTUM
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Credential | RDN, LDN
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Telephone | 832-859-5830
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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 | 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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