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General NPI Number Information
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NPI Number | 1881893360
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Entity Type | Individual
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Provider Name | MEGAN RIZZI REYNOLDS MS, RD, CSR, LD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 5011 GATE PKWY BLDG 100
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0830
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Country | US
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Telephone | 330-766-1818
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Fax | 833-536-1767
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Provider Business Mailing Address
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Address Line | 1991 CROCKER RD STE 600
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City | WESTLAKE
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State | OH
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Zip | 44145-6970
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Country | US
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Telephone | 330-766-1818
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Fax | 833-536-1767
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 5859
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 5859
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 976357
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-3771264
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License Number State |
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Taxonomy #5
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | ND10800
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License Number State | FL
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