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NPI Code Detail

MEDICARE: FAMILY NUTRITION AND STRENGTH LLC

MEDICARE: FAMILY NUTRITION AND STRENGTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1508680307
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY NUTRITION AND STRENGTH LLC
Provider Business Mailing Address
First Line : PO BOX 1582
Second Line :
City : MINOT
State : ND
Zip : 58702-1582
Country : US
Telephone Number : 360-865-7860
Fax Number : 707-707-3853
Provider Business Practice Location Address
First Line : 3003 32ND AVE S STE 240
Second Line :
City : FARGO
State : ND
Zip : 58103-6118
Country : US
Telephone Number : 360-865-7860
Fax Number : 701-707-3853
Authorized Official
Title or Position : DIETITIAN
Name : CHARITY GARLAND
Credential : RD
Telephone Number : 360-865-7860
Provider Enumeration Date : 11/09/2024
Last Update Date : 11/09/2024

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Directions to “FAMILY NUTRITION AND STRENGTH LLC ” Practice Location

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