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General NPI Number Information
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NPI Number | 1700691185
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Entity Type | Organization
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Legal Business Name | TAVCAR & ONEAL NUTRITION SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 3732 LAKESIDE DR STE 200
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City | RENO
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State | NV
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Zip | 89509-4519
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Country | US
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Telephone | 775-360-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 3732 LAKESIDE DR STE 200
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City | RENO
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State | NV
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Zip | 89509-4519
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Country | US
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Telephone | 775-360-6500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAUNA TAVCAR
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Credential | RD
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Telephone | 775-240-0616
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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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