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General NPI Number Information
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NPI Number | 1760278022
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Entity Type | Organization
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Legal Business Name | MEDICAL NUTRITION THERAPY ASSOCIATES OF COLORADO
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 10100 TWENTY MILE RD
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City | PARKER
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State | CO
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Zip | 80134-6453
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Country | US
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Telephone | 303-276-1900
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Fax | 888-892-4064
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Provider Business Mailing Address
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Address Line | 22053 DAY STAR DR
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City | PARKER
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State | CO
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Zip | 80138-8356
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Country | US
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Telephone | 303-204-6444
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICIAN
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Name | JOANNA CUMMINGS
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Credential | MS, RD-AP, CSSD
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Telephone | 303-204-6444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1101X
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Taxonomy Name | Gerontological Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 133VN1301X
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Taxonomy Name | Oncology Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #7
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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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