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General NPI Number Information
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NPI Number | 1396870010
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Entity Type | Organization
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Legal Business Name | WEST ALABAMA NUTRITIONAL CONSULTANTS, LLC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 701 UNIVERSITY BLVD E SUITE 809
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2086
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Country | US
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Telephone | 205-247-2934
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21379
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City | TUSCALOOSA
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State | AL
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Zip | 35402-1379
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Country | US
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Telephone | 205-826-9936
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KRISTY M SATCHER
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Credential | MA, RD, LD
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Telephone | 205-826-9936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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