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General NPI Number Information
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NPI Number | 1164391579
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Entity Type | Organization
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Legal Business Name | HAPPY TUMMY NUTRITION, LLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 400 N TAMPA ST STE 1550
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City | TAMPA
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State | FL
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Zip | 33602-4737
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Country | US
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Telephone | 813-590-7565
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 130334
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City | TAMPA
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State | FL
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Zip | 33681-0334
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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 | REGISTERED DIETITIAN & OWNER
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Name | KRISTEN FUSTOS
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Credential | MS, RDN, CSP, LD, CL
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Telephone | 813-590-7565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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