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General NPI Number Information
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NPI Number | 1902228646
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Entity Type | Organization
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Legal Business Name | NUTRILICIOUSBYZ
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 1785 STATE HIGHWAY 26 STE 200
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City | GRAPEVINE
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State | TX
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Zip | 76051-2245
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Country | US
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Telephone | 214-914-3778
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Fax | 888-974-4238
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Provider Business Mailing Address
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Address Line | 1400 VALLEY TRL
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City | IRVING
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State | TX
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Zip | 75063-5071
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Country | US
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Telephone | 214-914-3778
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN NUTRITIONIST
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Name | ZARANA PAREKH
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Credential | RDN,LD
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Telephone | 214-914-3778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | DT80225
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License Number State | TX
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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 | DT80225
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License Number State | TX
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