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General NPI Number Information
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NPI Number | 1437420478
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Entity Type | Organization
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Legal Business Name | AUSTIN NUTRITION CONSULTANTS
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 4127 HONEYCOMB ROCK CIR
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City | AUSTIN
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State | TX
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Zip | 78731-2015
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Country | US
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Telephone | 512-345-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 4127 HONEYCOMB ROCK CIR
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City | AUSTIN
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State | TX
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Zip | 78731-2015
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Country | US
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Telephone | 512-345-2285
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LEANNE SKINNER
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Credential | R.D.,L.D.
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Telephone | 512-423-7166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT02354
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License Number State | TX
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