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General NPI Number Information
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NPI Number | 1992464184
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Entity Type | Organization
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Legal Business Name | THOMAS J HELLYER DIETITIAN & ASSOCIATES LLC
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 10120 S EASTERN AVE STE 115
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City | HENDERSON
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State | NV
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Zip | 89052-3952
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Country | US
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Telephone | 725-529-7989
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Fax | 702-920-9966
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Provider Business Mailing Address
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Address Line | PO BOX 778427
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City | HENDERSON
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State | NV
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Zip | 89077-8427
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Country | US
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Telephone | 725-529-7989
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Fax | 702-920-9966
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS J HELLYER JR.
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Credential | RD, LD
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Telephone | 304-415-1384
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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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