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General NPI Number Information
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NPI Number | 1578467239
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Entity Type | Organization
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Legal Business Name | FAITH MATHER, RD
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 4884 VALDINA WAY
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City | SAN DIEGO
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State | CA
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Zip | 92124-2432
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Country | US
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Telephone | 608-436-1477
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Fax |
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Provider Business Mailing Address
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Address Line | 4884 VALDINA WAY
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City | SAN DIEGO
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State | CA
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Zip | 92124-2432
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Country | US
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Telephone | 608-436-1477
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | FAITH MATHER
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Credential | RD, CNSC
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Telephone | 608-436-1477
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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 | NULL
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