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General NPI Number Information
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NPI Number | 1851227128
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Entity Type | Organization
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Legal Business Name | BALANCED THERAPY & NUTRITION PLLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 13299 S ASHWOOD GLEN WAY
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City | DRAPER
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State | UT
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Zip | 84020-7132
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Country | US
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Telephone | 801-814-0518
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Fax |
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Provider Business Mailing Address
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Address Line | 13299 S ASHWOOD GLEN WAY
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City | DRAPER
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State | UT
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Zip | 84020-7132
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Country | US
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Telephone | 801-814-0518
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | KAITLIN EARL
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Credential | RDN
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Telephone | 801-814-0518
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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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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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