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General NPI Number Information
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NPI Number | 1093682171
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Entity Type | Individual
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Provider Name | LAUREN MCKNIGHT-FORD RD
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Gender | Female
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 2630 E 7TH ST
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City | CHARLOTTE
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State | NC
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Zip | 28204-4318
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Country | US
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Telephone | 248-320-3448
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Fax |
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Provider Business Mailing Address
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Address Line | 12408 MCALLISTER PARK DR
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City | CHARLOTTE
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State | NC
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Zip | 28277-2495
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Country | US
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Telephone | 248-320-3448
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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 | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | L005924
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License Number State | NC
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