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General NPI Number Information
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NPI Number | 1952234775
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Entity Type | Organization
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Legal Business Name | METABOLIC EDGE NUTRITION LLC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 1316 BEARMORE DR
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City | CHARLOTTE
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State | NC
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Zip | 28211-4712
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Country | US
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Telephone | 704-312-8694
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 EAST BLVD STE E
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City | CHARLOTTE
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State | NC
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Zip | 28203-5876
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Country | US
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Telephone | 704-312-8694
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA G BUSBY
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Credential | MS, RD, LDN, CDCES
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Telephone | 704-312-8694
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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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