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General NPI Number Information
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NPI Number | 1750055315
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Entity Type | Organization
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Legal Business Name | JOYFULL NUTRITION THERAPY LLC
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1304 MESQUITE RD
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City | CEDAR PARK
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State | TX
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Zip | 78613-5107
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Country | US
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Telephone | 210-215-6801
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Fax | 888-395-1028
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Provider Business Mailing Address
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Address Line | 1304 MESQUITE RD
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City | CEDAR PARK
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State | TX
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Zip | 78613-5107
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Country | US
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Telephone | 210-215-6801
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Fax | 888-395-1028
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Authorized Official
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Title or Position | MANAGER, MEMBER
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Name | VICTORIA WHITE
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Credential | MS, RD, LD
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Telephone | 512-640-9503
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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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