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General NPI Number Information
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NPI Number | 1174120596
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Entity Type | Organization
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Legal Business Name | NUTRITION FOR YOU
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 1129 HEATHERSTONE DRIVE
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City | FREDERICKSBURG
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State | VA
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Zip | 22407
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Country | US
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Telephone | 540-307-3224
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Fax |
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Provider Business Mailing Address
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Address Line | 340 BIRCHSIDE CRIRCLE
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City | LOCUST GROVE
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State | VA
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Zip | 22508-5438
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Country | US
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Telephone | 540-760-5337
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | SUZANNE AMORUSO
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Credential | RD
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Telephone | 540-760-5337
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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 |
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License Number State |
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Taxonomy #2
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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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