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General NPI Number Information
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NPI Number | 1760102149
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Entity Type | Individual
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Provider Name | EMMA KATHERINE NELSON RD, LDN, CPT
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 1008 W 71ST TER
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City | KANSAS CITY
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State | MO
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Zip | 64114-1204
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Country | US
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Telephone | 615-840-1021
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Fax | 629-666-3352
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Provider Business Mailing Address
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Address Line | 1008 W 71ST TER
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City | KANSAS CITY
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State | MO
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Zip | 64114-1204
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Country | US
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Telephone | 615-840-1021
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Fax | 629-666-3352
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4096
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License Number State | TN
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