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General NPI Number Information
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NPI Number | 1801135686
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Entity Type | Organization
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Legal Business Name | ON POINT NUTRITION, LLC
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Dates
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Enumeration Date | 02/13/2013
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 12850 HIGHWAY 9 N
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City | ALPHARETTA
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State | GA
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Zip | 30004-4231
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Country | US
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Telephone | 678-404-7442
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Fax |
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Provider Business Mailing Address
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Address Line | 12850 HIGHWAY 9 N
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City | ALPHARETTA
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State | GA
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Zip | 30004-4231
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Country | US
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Telephone | 678-404-7442
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | COLLEEN MCCARTHY
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Credential | RD
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Telephone | 678-404-7442
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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 | LD003946
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License Number State | GA
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