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General NPI Number Information
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NPI Number | 1720652118
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Entity Type | Organization
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Legal Business Name | UPBEET NUTRITION, INC
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/14/2022
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Provider Practice Location Address
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Address Line | 1915 HIGH ST
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City | SELMA
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State | CA
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Zip | 93662-3510
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Country | US
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Telephone | 559-795-6779
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Fax | 559-891-7542
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Provider Business Mailing Address
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Address Line | 1064 MILL ST
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City | SELMA
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State | CA
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Zip | 93662-4602
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Country | US
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Telephone | 559-352-5242
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Fax | 559-891-7542
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Authorized Official
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Title or Position | OWNER
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Name | MONA LISA FRANCO
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Credential | RD
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Telephone | 559-352-5242
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #3
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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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