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General NPI Number Information
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NPI Number | 1326984311
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Entity Type | Organization
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Legal Business Name |
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 6401 ELDORADO PKWY STE 334
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City | MCKINNEY
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State | TX
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Zip | 75070-6520
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Country | US
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Telephone | 430-755-0994
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Fax | 214-310-4495
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Provider Business Mailing Address
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Address Line | 6204 BLACKSTONE DR
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City | MCKINNEY
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State | TX
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Zip | 75070-7808
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Country | US
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Telephone | 430-755-0994
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Fax | 214-310-4495
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Authorized Official
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Title or Position | OWNER
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Name | MCKENZIE HARRIS
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Credential | RD, LD, CEDS
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Telephone | 214-802-7118
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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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