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General NPI Number Information
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NPI Number | 1548539679
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL NUTRITION THERAPISTS, LLC
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 13490 TI BLVD SUITE 102
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City | DALLAS
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State | TX
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Zip | 75243-1533
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Country | US
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Telephone | 972-238-1811
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Fax | 800-888-9560
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Provider Business Mailing Address
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Address Line | 13490 TI BLVD SUITE 102
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City | DALLAS
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State | TX
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Zip | 75243-1533
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Country | US
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Telephone | 972-238-1811
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Fax | 800-888-9560
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MRS. MARTHA MCHENRY
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Credential | RD, LD, CDE
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Telephone | 972-238-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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