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General NPI Number Information
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NPI Number | 1639879026
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Entity Type | Organization
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Legal Business Name | REBECCA SNOW NUTRITION, LLC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 3509 REYNARD DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-1107
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Country | US
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Telephone | 443-840-7887
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25
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City | GLENELG
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State | MD
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Zip | 21737-0025
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Country | US
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Telephone | 443-840-7887
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Fax | 844-896-9941
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Authorized Official
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Title or Position | OWNER, NUTRITIONIST
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Name | REBECCA J SNOW
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Credential | MS, CNS, LDN, RH
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Telephone | 443-840-7887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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