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General NPI Number Information
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NPI Number | 1306702345
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Entity Type | Organization
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Legal Business Name | RD GENERATIONAL NUTRITION
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Dates
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Enumeration Date | 01/03/2026
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 28911 CHAMPION OAKS DR
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City | MAGNOLIA
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State | TX
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Zip | 77354-5545
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Country | US
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Telephone | 717-712-2352
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Fax |
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Provider Business Mailing Address
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Address Line | 28911 CHAMPION OAKS DR
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City | MAGNOLIA
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State | TX
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Zip | 77354-5545
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER - DIETITIAN
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Name | RACHEL DZAKA
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Credential | MS, RD, LD
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Telephone | 717-712-2352
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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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