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General NPI Number Information
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NPI Number | 1396543229
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Entity Type | Organization
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Legal Business Name | OH SO EASY NUTRITION LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1313 ANDANTE DR
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City | FORT WORTH
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State | TX
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Zip | 76134-3703
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Country | US
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Telephone | 682-800-1916
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 ANDANTE DR
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City | FORT WORTH
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State | TX
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Zip | 76134-3703
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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 | OWNER
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Name | ALMARIE TALAVERA
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Credential | RDN, LD
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Telephone | 682-800-1916
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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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Taxonomy #2
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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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 | 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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