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NPI 1346835832

NPI 1346835832 : TASTY BALANCE LLC : PRAIRIE VILLAGE, KS

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General NPI Number Information
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    NPI Number           |    1346835832
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    Entity Type          |    Organization 
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    Legal Business Name  |    TASTY BALANCE LLC 
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Dates
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    Enumeration Date     |    03/05/2021
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    Last Update Date     |    02/09/2026
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Provider Practice Location Address
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    Address Line         |    8340 MISSION RD. SUITE 237
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    City                 |    PRAIRIE VILLAGE
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    State                |    KS
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    Zip                  |    66206
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    Country              |    US
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    Telephone            |    816-635-0739
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    Fax                  |    913-305-5029
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Provider Business Mailing Address
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    Address Line         |    8340 MISSION RD STE 237 
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    City                 |    PRAIRIE VILLAGE
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    State                |    KS
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    Zip                  |    66206-1362
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    Country              |    US
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    Telephone            |    816-635-0739
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    Fax                  |    913-305-5029
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ARIEL J JOHNSTON 
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    Credential           |    RD
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    Telephone            |    913-999-4023
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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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