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General NPI Number Information
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NPI Number | 1225992076
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Entity Type | Organization
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Legal Business Name | EAT BEYOND LABELS INC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 3079 HARRISON AVE STE 12
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City | SOUTH LAKE TAHOE
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State | CA
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Zip | 96150-7978
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Country | US
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Telephone | 530-314-8870
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Fax | 530-314-8972
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Provider Business Mailing Address
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Address Line | 3079 HARRISON AVE STE 12 UNIT 131
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City | SOUTH LAKE TAHOE
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State | CA
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Zip | 96150-7978
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Country | US
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Telephone | 530-314-8870
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Fax | 530-314-8972
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTY WALOWIT
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Credential | RD
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Telephone | 530-314-8870
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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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