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General NPI Number Information
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NPI Number | 1457940108
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Entity Type | Organization
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Legal Business Name | FOOD 4 SUCCESS
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Dates
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Enumeration Date | 01/15/2021
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1067 FM 306 STE 404
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-6895
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Country | US
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Telephone | 210-439-1714
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Fax | 830-730-5652
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Provider Business Mailing Address
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Address Line | 743 CAMBRIDGE DR
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-4333
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Country | US
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Telephone | 210-439-1714
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Fax | 830-730-5652
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Authorized Official
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Title or Position | OWNER
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Name | ELISSA LUECKEMEYER
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Credential | RDN, LD
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Telephone | 210-439-1714
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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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