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General NPI Number Information
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NPI Number | 1174462980
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Entity Type | Organization
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Legal Business Name | GAVI NUTRITION, LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 4150 RANCHO RD
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City | TEMPLETON
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State | CA
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Zip | 93465-9676
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Country | US
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Telephone | 424-235-0164
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Fax |
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Provider Business Mailing Address
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Address Line | 4150 RANCHO RD
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City | TEMPLETON
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State | CA
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Zip | 93465-9676
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Country | US
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Telephone | 424-235-0164
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | NATALIE GAVI
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Credential | RD
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Telephone | 424-235-0164
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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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