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General NPI Number Information
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NPI Number | 1710707823
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Entity Type | Organization
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Legal Business Name | ALLISON BEACH NUTRITION, LLC
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 6275 W PLANO PKWY STE 500
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City | PLANO
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State | TX
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Zip | 75093-4942
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Country | US
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Telephone | 469-892-8518
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Fax | 469-896-4824
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Provider Business Mailing Address
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Address Line | 2104 LARKSPUR DR
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City | CARROLLTON
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State | TX
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Zip | 75010-4134
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Country | US
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Telephone | 469-892-8518
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Fax |
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Authorized Official
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Title or Position | OWNER/REGISTERED DIETITIAN
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Name | MRS. ALLISON BEACH
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Credential | MS, RDN, CSR, LD
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Telephone | 469-892-8518
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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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