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General NPI Number Information
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NPI Number | 1386520732
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Entity Type | Organization
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Legal Business Name | LULO NUTRITION, LLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 628 N ILLINOIS ST
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City | ARLINGTON
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State | VA
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Zip | 22205-1140
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Country | US
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Telephone | 864-905-2925
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Fax |
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Provider Business Mailing Address
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Address Line | 628 N ILLINOIS ST
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City | ARLINGTON
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State | VA
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Zip | 22205-1140
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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 | DIEITIAN
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Name | MRS. LIZENIA PAZMIN
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Credential | RDN
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Telephone | 864-905-2925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State |
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