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General NPI Number Information
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NPI Number | 1245685122
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Entity Type | Organization
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Legal Business Name | GUIDED EATING, LLC
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 3325 N UNIVERSITY AVE SUITE 275
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City | PROVO
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State | UT
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Zip | 84604-4465
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Country | US
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Telephone | 801-691-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 N UNIVERSITY AVE SUITE 275
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City | PROVO
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State | UT
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Zip | 84604-4465
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Country | US
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Telephone | 801-691-8090
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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 | LAUREN MARIE ABSHER
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Credential | MPH, RD, CD
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Telephone | 801-691-8090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 7172730-4901
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License Number State | UT
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