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General NPI Number Information
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NPI Number | 1609055987
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Entity Type | Individual
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Provider Name | NADIA RENEE MARZELLA MS, RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1624 SAHALE FALLS DR
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City | BRASELTON
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State | GA
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Zip | 30517-3441
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Country | US
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Telephone | 407-952-2871
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Fax |
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Provider Business Mailing Address
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Address Line | 1624 SAHALE FALLS DR
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City | BRASELTON
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State | GA
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Zip | 30517-3441
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Country | US
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Telephone | 407-952-2871
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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 | 4367
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License Number State | FL
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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 | 2693
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 890477
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD004586
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License Number State | GA
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