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General NPI Number Information
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NPI Number | 1689530545
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Entity Type | Organization
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Legal Business Name | GENTLE GROUND NUTRITION THERAPY LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 4 E 3RD ST APT 2
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City | FREDERICK
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State | MD
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Zip | 21701-5363
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Country | US
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Telephone | 813-431-0023
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Fax |
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Provider Business Mailing Address
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Address Line | 4 E 3RD ST APT 2
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City | FREDERICK
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State | MD
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Zip | 21701-5363
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Country | US
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Telephone | 813-431-0023
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN & FOUNDER
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Name | KELSEY LAUREN SMITH
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Credential | MS, RD, LDN
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Telephone | 813-431-0023
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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 |
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License Number State |
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