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General NPI Number Information
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NPI Number | 1932042769
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Entity Type | Individual
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Provider Name | ALYSSA FAULK RDN
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Gender | Female
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 233 E MAIN ST STE 2
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2403
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Country | US
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Telephone | 801-210-1416
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Fax |
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Provider Business Mailing Address
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Address Line | 291 TRADEWINDS DR APT 4
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City | SAN JOSE
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State | CA
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Zip | 95123-6047
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Country | US
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Telephone | 408-607-5524
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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 | 86330151
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License Number State | UT
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