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General NPI Number Information
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NPI Number | 1104770221
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Entity Type | Organization
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Legal Business Name | SARA CULLY NUTRITION LLC
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 11815 FOUNTAIN WAY STE 300
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4448
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Country | US
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Telephone | 757-353-0850
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Fax | 833-205-8577
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Provider Business Mailing Address
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Address Line | 1811 CALASH WAY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-6000
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Country | US
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Telephone | 757-353-0850
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN, OWNER
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Name | SARA ASHLEY CULLY
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Credential | RD, CPT, CIEC
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Telephone | 757-353-0850
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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 | NULL
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