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General NPI Number Information
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NPI Number | 1225785561
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Entity Type | Organization
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Legal Business Name | BRANZ NUTRITION COUNSELING
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 138 EAGLE DR
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City | O FALLON
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State | IL
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Zip | 62269-1866
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Country | US
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Telephone | 314-804-1848
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Fax | 618-209-1962
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Provider Business Mailing Address
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Address Line | 138 EAGLE DR
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City | O FALLON
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State | IL
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Zip | 62269-1866
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Country | US
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Telephone | 314-804-1848
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Fax | 618-209-1962
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Authorized Official
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Title or Position | OWNER/DIETITIAN
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Name | MRS. ERICA LEIGH BRANZ
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Credential | MS, RD, LDN, CEDRD
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Telephone | 618-304-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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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