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General NPI Number Information
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NPI Number | 1730060302
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Entity Type | Organization
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Legal Business Name | CHRISTINE BYRNE NUTRITION LLC, DBA RUBY OAK NUTRITION
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 222 N PERSON ST STE 201
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City | RALEIGH
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State | NC
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Zip | 27601-1067
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Country | US
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Telephone | 919-213-8979
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Fax | 919-267-3174
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Provider Business Mailing Address
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Address Line | 222 N PERSON ST STE 201
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City | RALEIGH
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State | NC
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Zip | 27601-1067
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Country | US
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Telephone | 919-213-8979
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Fax | 919-267-3174
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Authorized Official
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Title or Position | CLINICAL OPERATIONS ADMINISTRATOR
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Name | KELLY LIDDLE
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Credential |
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Telephone | 919-213-8970
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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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