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General NPI Number Information
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NPI Number | 1255943908
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Entity Type | Individual
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Provider Name | ALISON MARION VARHOL MS, RD, LD/N
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Gender | Female
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Dates
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Enumeration Date | 08/22/2020
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 95072 WINDFLOWER TRL
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-3798
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Country | US
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Telephone | 908-892-1747
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Fax |
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Provider Business Mailing Address
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Address Line | 95072 WINDFLOWER TRL
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-3798
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Country | US
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Telephone | 908-892-1747
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND9820
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License Number State | FL
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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 | LD006008
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LRD3825
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License Number State | SC
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