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General NPI Number Information
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NPI Number | 1720983711
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Entity Type | Organization
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Legal Business Name | JULIA TEDDER NUTRITION
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Dates
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Enumeration Date | 10/10/2026
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Last Update Date | 10/10/2026
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Provider Practice Location Address
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Address Line | 102 FOREST OAKS DR
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City | FOREST
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State | VA
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Zip | 24551-1929
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Country | US
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Telephone | 980-295-6388
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Fax |
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Provider Business Mailing Address
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Address Line | 1068 MIDDLE VIEW DR
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City | FOREST
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State | VA
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Zip | 24551-4594
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NUTRITIONIST
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Name | JULIA TEDDER
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Credential | CNS
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Telephone | 980-295-6388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State | NULL
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