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General NPI Number Information
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NPI Number | 1407778566
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Entity Type | Organization
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Legal Business Name | THE NUTRITION EDIT LLC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 12236 MADISON DR
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City | ATLANTA
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State | GA
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Zip | 30346-2472
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Country | US
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Telephone | 423-737-8015
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Fax |
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Provider Business Mailing Address
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Address Line | 260 PEACHTREE ST NW
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City | ATLANTA
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State | GA
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Zip | 30303-1202
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Country | US
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Telephone | 423-737-8015
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | CRYSTAL MICHELLE DUQUE
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Credential | RDN
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Telephone | 423-737-8015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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