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General NPI Number Information
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NPI Number | 1982595450
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Entity Type | Individual
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Provider Name | IZABELE SCOVIL RD
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Gender |
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 101 WOODRUFF CIR SUITE 7130
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-778-7317
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Fax |
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Provider Business Mailing Address
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Address Line | 1659 MONROE DR NE APT W9
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City | ATLANTA
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State | GA
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Zip | 30324-2806
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Country | US
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Telephone | 520-609-8929
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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 | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State |
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