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General NPI Number Information
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NPI Number | 1841110376
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Entity Type | Organization
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Legal Business Name | THRIVE NUTRITION KANSAS CITY LLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 3049 NW 96TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64154-1640
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Country | US
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Telephone | 816-590-8376
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Fax |
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Provider Business Mailing Address
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Address Line | 3049 NW 96TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64154-1640
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Country | US
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Telephone | 816-590-8376
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Fax |
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Authorized Official
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Title or Position | DIETITIAN
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Name | CAMERON MOTTET
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Credential | MS, RD, CSOWM, LD
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Telephone | 816-590-8376
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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 |
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License Number State |
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