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General NPI Number Information
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NPI Number | 1982226510
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Entity Type | Organization
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Legal Business Name | BRAINFOOD NUTRITION
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 5801 ROLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21210-1309
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Country | US
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Telephone | 410-561-6241
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 ROLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21210-1309
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Country | US
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Telephone | 410-561-6241
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF NUTRITION
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Name | DR. ANGELA TAYLOR
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Credential |
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Telephone | 410-561-6241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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