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General NPI Number Information
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NPI Number | 1619834660
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Entity Type | Organization
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Legal Business Name | SUSAN KOUZEL, RD LLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 115 HAMPSHIRE SQ SW
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City | LEESBURG
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State | VA
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Zip | 20175-5036
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Country | US
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Telephone | 703-431-6892
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Fax | 571-617-0037
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Provider Business Mailing Address
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Address Line | 115 HAMPSHIRE SQ SW
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City | LEESBURG
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State | VA
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Zip | 20175-5036
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Country | US
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Telephone | 703-431-6892
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Fax | 571-617-0037
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Authorized Official
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Title or Position | REGISTERED DIETITIAN/OWNER
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Name | SUSAN E KOUZEL
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Credential |
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Telephone | 703-431-6892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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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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