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General NPI Number Information
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NPI Number | 1093623423
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Entity Type | Organization
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Legal Business Name | SPROUT & THRIVE, LLC
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 1284 DAIRY GLEN DR
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-5774
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Country | US
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Telephone | 919-607-7259
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Fax |
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Provider Business Mailing Address
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Address Line | 1284 DAIRY GLEN DR
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-5774
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Country | US
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Telephone | 919-607-7259
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | DANNAH JARRAD
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Credential | RDN
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Telephone | 919-607-7259
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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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Taxonomy #2
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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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