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General NPI Number Information
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NPI Number | 1639786908
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Entity Type | Individual
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Provider Name | LAUREN SHAW TINKEY MS,RDN,LDN
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Gender | Female
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 855 SAM NEWELL RD STE 204
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City | MATTHEWS
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State | NC
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Zip | 28105-7594
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Country | US
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Telephone | 980-202-6643
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Fax | 980-246-9482
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Provider Business Mailing Address
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Address Line | PO BOX 604050
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City | CHARLOTTE
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State | NC
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Zip | 28260-4050
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Country | US
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Telephone |
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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 | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | L006230
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License Number State | NC
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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 | L006230
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License Number State | NC
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