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General NPI Number Information
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NPI Number | 1689187411
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Entity Type | Organization
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Legal Business Name | RAINBOW NUTRITION CONSULTING, LLC
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 03/07/2018
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Provider Practice Location Address
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Address Line | 920 MEDICAL PLAZA DR STE 330
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City | SHENANDOAH
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State | TX
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Zip | 77380-3271
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Country | US
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Telephone | 832-663-0037
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Fax | 281-962-3033
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Provider Business Mailing Address
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Address Line | 920 MEDICAL PLAZA DR STE 330
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City | SHENANDOAH
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State | TX
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Zip | 77380-3271
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Country | US
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Telephone |
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Fax | 281-962-3033
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Authorized Official
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Title or Position | REGISTERED DIETITIAN NUTRITIONIST
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Name | MRS. FAITH UMOH
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Credential | MPH, RD, LD, CDE
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Telephone | 281-475-2275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | DT83741
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License Number State | TX
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