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NPI 1538996277

NPI 1538996277 : CARLYN MAKENZI ZAHNER RD, LDN : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1538996277
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    Entity Type          |    Individual 
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    Provider Name        |    CARLYN MAKENZI ZAHNER RD, LDN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/17/2024
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    325 HAWTHORNE LN STE 100 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28204-2536
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    Country              |    US
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    Telephone            |    704-316-7760
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    Fax                  |    704-316-7761
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Provider Business Mailing Address
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    Address Line         |    6433 CAMERON FOREST LN APT 2A 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28210-5041
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    L008073
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    License Number State |    
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Taxonomy #2
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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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Taxonomy #3
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    L008073
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    License Number State |    NC
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