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General NPI Number Information
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NPI Number | 1255787271
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Entity Type | Individual
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Provider Name | TARA DEWITT ZAUHAR MS, RDN, LD, CSSD
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Gender | Female
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 7124 MICHAEL SCOTT XING
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City | FORT MILL
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State | SC
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Zip | 29708-8912
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Country | US
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Telephone | 612-358-7596
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Fax | 651-368-9222
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Provider Business Mailing Address
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Address Line | 7124 MICHAEL SCOTT XING
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City | FORT MILL
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State | SC
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Zip | 29708-8912
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Country | US
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Telephone | 612-358-7596
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Fax | 651-368-9222
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 3692
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License Number State | MN
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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 | 3725
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License Number State | SC
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