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General NPI Number Information
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NPI Number | 1497497390
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Entity Type | Organization
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Legal Business Name | FUEL4U, LLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 7148 MORNING LIGHT TRL
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City | COLUMBIA
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State | MD
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Zip | 21044-4908
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Country | US
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Telephone | 410-707-1691
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Fax |
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Provider Business Mailing Address
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Address Line | 7148 MORNING LIGHT TRL
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City | COLUMBIA
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State | MD
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Zip | 21044-4908
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Country | US
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Telephone | 410-707-1691
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Fax |
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Authorized Official
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Title or Position | LICENSED NUTRITIONIST
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Name | CARA L ZALLER
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Credential | CNS
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Telephone | 410-707-1691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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