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General NPI Number Information
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NPI Number | 1588445233
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Entity Type | Organization
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Legal Business Name | KAYLA CLARY NUTRITION
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 1715 ASHWOOD LN
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City | BIRMINGHAM
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State | AL
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Zip | 35209-8206
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Country | US
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Telephone | 334-559-5258
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Fax |
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Provider Business Mailing Address
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Address Line | 1715 ASHWOOD LN
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City | BIRMINGHAM
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State | AL
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Zip | 35209-8206
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Country | US
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Telephone | 334-559-5258
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAYLA CLARY
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Credential | RD
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Telephone | 334-559-5258
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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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