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General NPI Number Information
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NPI Number | 1780483966
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Entity Type | Organization
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Legal Business Name | FOODTALK NUTRITION LLC
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 4386 N ORACLE RD STE 160
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City | TUCSON
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State | AZ
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Zip | 85705-1657
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Country | US
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Telephone | 520-260-2443
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Fax |
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Provider Business Mailing Address
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Address Line | 4386 N. ORACLE RD. STE 160 #225
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City | TUCSON
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State | AZ
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Zip | 85705
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Country | US
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Telephone | 520-260-2443
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DESIDERIO ABEYTA
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Credential | RDN
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Telephone | 520-260-2443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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