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General NPI Number Information
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NPI Number | 1750233086
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Entity Type | Organization
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Legal Business Name | KAITLYN TUCKER NUTRITION
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 9724 KINGSTON PIKE STE 107
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City | KNOXVILLE
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State | TN
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Zip | 37922-3387
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Country | US
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Telephone | 865-219-3474
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Fax |
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Provider Business Mailing Address
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Address Line | 3708 WHITWORTH DR
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City | KNOXVILLE
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State | TN
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Zip | 37938-4227
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Country | US
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Telephone | 865-219-3474
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Fax |
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Authorized Official
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Title or Position | DIETITIAN/ OWNER
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Name | KAITLYN TUCKER
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Credential | MS, RDN, LDN
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Telephone | 865-474-0910
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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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