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General NPI Number Information
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NPI Number | 1811789332
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Entity Type | Organization
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Legal Business Name | PRIORITY DIETETICS LLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 424 WASHINGTON ST STE 9
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City | COLUMBUS
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State | IN
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Zip | 47201-6790
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Country | US
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Telephone | 240-751-7737
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Fax |
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Provider Business Mailing Address
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Address Line | 424 WASHINGTON ST STE 9
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City | COLUMBUS
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State | IN
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Zip | 47201-6790
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Country | US
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Telephone | 240-751-7737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BROOKE SIMMONS
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Credential | RD
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Telephone | 240-751-7737
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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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