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NPI 1457099038

NPI 1457099038 : RESTORING BODIES FITNESS & NUTRITION SERVICES : MADISON, AL

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General NPI Number Information
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    NPI Number           |    1457099038
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    Entity Type          |    Organization 
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    Legal Business Name  |    RESTORING BODIES FITNESS & NUTRITION SERVICES 
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Dates
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    Enumeration Date     |    05/24/2022
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    Last Update Date     |    02/17/2026
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Provider Practice Location Address
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    Address Line         |    6995 WALL TRIANA HWY STE A 
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    City                 |    MADISON
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    State                |    AL
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    Zip                  |    35757-7463
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    Country              |    US
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    Telephone            |    256-858-1344
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    Fax                  |    256-858-1393
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Provider Business Mailing Address
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    Address Line         |    6995 WALL TRIANA HWY STE A 
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    City                 |    MADISON
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    State                |    AL
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    Zip                  |    35757-7463
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    Country              |    US
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    Telephone            |    256-858-1344
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    Fax                  |    256-858-1363
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Authorized Official
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    Title or Position    |    REGISTERED DIETITIAN
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    Name                 |    MRS. TAMMIE S. BROWN 
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    Credential           |    RDN
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    Telephone            |    256-858-1344
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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       |    
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    License Number State |    
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