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General NPI Number Information
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NPI Number | 1164198586
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Entity Type | Organization
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Legal Business Name | REBECCA THOMAS NUTRITION LLC.
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1109 JADE DR
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City | BEL AIR
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State | MD
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Zip | 21014-2428
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Country | US
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Telephone | 609-529-4897
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Fax | 410-838-7065
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Provider Business Mailing Address
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Address Line | 1109 JADE DR
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City | BEL AIR
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State | MD
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Zip | 21014-2428
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Country | US
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Telephone | 443-903-4031
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Fax | 410-838-7065
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Authorized Official
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Title or Position | OWNER
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Name | MRS. REBECCA THOMAS
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Credential | RD, LDN
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Telephone | 443-903-4031
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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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