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NPI 1891476065

NPI 1891476065 : CHRISTY SCHULD MS, RD : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1891476065
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTY SCHULD MS, RD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/31/2023
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    Last Update Date     |    07/31/2023
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Provider Practice Location Address
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    Address Line         |    940 W 35TH ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90089-5149
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    Country              |    US
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    Telephone            |    262-443-5043
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    940 W 35TH ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90089-4001
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    Country              |    US
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    Telephone            |    
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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        |    133VN1501X
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    Taxonomy Name        |    Sports Dietetics Nutrition Registered Dietitian
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    License Number       |    86114874
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    License Number State |    WI
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