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Individual
TIMOTHY SCALLON
Active
Individual
TIMOTHY SCALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS RD LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00726
TX
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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