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General NPI Number Information
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NPI Number | 1942026752
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Entity Type | Organization
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Legal Business Name | THE CONCIERGE DIETITIAN LLC
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 7775 WALTON PKWY STE 100
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City | NEW ALBANY
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State | OH
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Zip | 43054-8202
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Country | US
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Telephone | 614-505-5432
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Fax |
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Provider Business Mailing Address
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Address Line | 5082 MARKS CT
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City | NEW ALBANY
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State | OH
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Zip | 43054-9359
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Country | US
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Telephone | 269-625-2011
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Fax |
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Authorized Official
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Title or Position | OWNER/ DIETITIAN
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Name | VIOLETA MORRIS
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Credential | MS, RDN, LD
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Telephone | 269-625-2011
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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 |
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License Number State |
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