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General NPI Number Information
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NPI Number | 1295221521
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Entity Type | Organization
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Legal Business Name | SARLI NUTRITION
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 5750 EDGMON RD
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City | OOLTEWAH
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State | TN
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Zip | 37363-6854
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Country | US
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Telephone | 423-902-3008
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Fax |
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Provider Business Mailing Address
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Address Line | 5750 EDGMON RD
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City | OOLTEWAH
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State | TN
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Zip | 37363-6854
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Country | US
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Telephone | 423-210-4210
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Fax | 423-373-8151
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Authorized Official
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Title or Position | OWNER / DIETITIAN
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Name | DOROTHEA SARLI
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Credential | RDN
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Telephone | 423-210-4210
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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 | 3276
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License Number State | TN
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