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NPI 1689542102

NPI 1689542102 : EMPOWER NUTRITION LLC : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1689542102
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMPOWER NUTRITION LLC 
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Dates
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    Enumeration Date     |    10/27/2025
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    Last Update Date     |    10/27/2025
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Provider Practice Location Address
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    Address Line         |    3744 CHATTAHOOCHEE SUMMIT DR SE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30339-3245
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    Country              |    US
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    Telephone            |    315-382-8990
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3744 CHATTAHOOCHEE SUMMIT DR SE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30339-3245
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    Country              |    US
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    Telephone            |    315-382-8990
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LAURA  HAMILTON 
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    Credential           |    MA,RD,LD
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    Telephone            |    315-382-8990
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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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Taxonomy #2
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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       |    
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    License Number State |    
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