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General NPI Number Information
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NPI Number | 1861370629
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Entity Type | Individual
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Provider Name | CARISSA BRAND MPH, RDN
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Gender | Female
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 8007 DISCOVERY DR
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City | HENRICO
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State | VA
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Zip | 23229-8605
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Country | US
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Telephone | 804-287-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 OVERBROOK RD APT 1347
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City | RICHMOND
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State | VA
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Zip | 23220-1374
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Country | US
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Telephone | 813-787-4464
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Fax |
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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 | 86327055
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License Number State |
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