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General NPI Number Information
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NPI Number | 1356907018
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Entity Type | Organization
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Legal Business Name | FAMILY NUTRITION SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 1755 SKYLAND GLEN DR
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City | SNELLVILLE
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State | GA
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Zip | 30078-3869
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Country | US
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Telephone | 470-394-2868
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Fax |
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Provider Business Mailing Address
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Address Line | 2483 HERITAGE VLG STE 16149
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City | SNELLVILLE
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State | GA
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Zip | 30078-6140
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Country | US
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Telephone | 470-394-2868
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HOLLEY NASH
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Credential | RDN, LD
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Telephone | 470-394-2868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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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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