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General NPI Number Information
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NPI Number | 1194008896
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Entity Type | Individual
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Provider Name | ZAMAR TARA MCPHERSON ND, RDN (LIC)
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Gender | Female
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 9755 CRESCENT VIEW DR S
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-5922
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Country | US
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Telephone | 561-907-8620
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Fax |
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Provider Business Mailing Address
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Address Line | 9755 CRESCENT VIEW DR S
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-5922
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Country | US
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Telephone | 561-907-8620
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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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 | ND 7904
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | ND7904
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | ND7904
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT82009
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License Number State | TX
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