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General NPI Number Information
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NPI Number | 1306765813
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Entity Type | Organization
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Legal Business Name | BLACKBIRD NUTRITION THERAPY
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 408 N CEDAR BLUFF RD STE 305
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City | KNOXVILLE
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State | TN
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Zip | 37923-3648
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Country | US
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Telephone | 865-315-8477
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Fax |
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Provider Business Mailing Address
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Address Line | 9111 CROSS PARK DR D200-393
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City | KNOXVILLE
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State | TN
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Zip | 37923-4506
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Country | US
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Telephone | 865-315-8477
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESA KURTH
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Credential | MS, RD, LDN
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Telephone | 865-315-8477
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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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