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General NPI Number Information
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NPI Number | 1982383857
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Entity Type | Individual
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Provider Name | BETH LOONEY RDN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 121 LONDON WAY
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-6800
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Country | US
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Telephone | 904-460-3130
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Fax |
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Provider Business Mailing Address
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Address Line | 121 LONDON WAY
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-6800
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Country | US
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Telephone | 904-460-3130
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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 | ND7088
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License Number State | FL
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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 | LD006482
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License Number State | GA
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