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General NPI Number Information
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NPI Number | 1528710704
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Entity Type | Organization
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Legal Business Name | NHW OF GA LLC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 7805 WATERS AVE STE 7A
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City | SAVANNAH
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State | GA
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Zip | 31406-2444
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Country | US
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Telephone | 912-800-5674
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 CORINTH AVE
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City | SAVANNAH
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State | GA
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Zip | 31406-4949
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Country | US
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Telephone | 704-912-8005
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRAVIS CHILCOT
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Credential |
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Telephone | 704-562-8373
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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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