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General NPI Number Information
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NPI Number | 1780480475
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Entity Type | Organization
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Legal Business Name | YOUR NUTRITION LLC
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 707-232-5401
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 21ST ST
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL OPERATIONS
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Name | ELEANOR YANG
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Credential | RDN
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Telephone | 707-232-5401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 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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