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General NPI Number Information
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NPI Number | 1891910071
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Entity Type | Individual
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Provider Name | VICTORIA QUAID WEAVER MS RD LD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 1016 PIEDMONT AVE NE
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City | ATLANTA
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State | GA
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Zip | 30309-3702
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Country | US
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Telephone | 404-875-9919
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Fax | 770-442-3210
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Provider Business Mailing Address
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Address Line | 3283 CHIPPING WOOD CT
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City | ALPHARETTA
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State | GA
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Zip | 30004-4304
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Country | US
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Telephone | 404-875-9919
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Fax | 770-442-3210
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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 | 000093
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License Number State | GA
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