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General NPI Number Information
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NPI Number | 1851250724
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Entity Type | Individual
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Provider Name | SUSAN PERAZZO RDN, CD
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 2319 S FOOTHILL DR STE 180
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City | SLC
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State | UT
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Zip | 84109-5403
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Country | US
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Telephone | 801-814-5016
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Fax |
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Provider Business Mailing Address
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Address Line | 2319 S FOOTHILL DR STE 180
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City | SLC
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State | UT
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Zip | 84109-5403
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Country | US
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Telephone | 385-722-4393
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Fax | 833-296-7437
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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