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Individual
MR. ZACHARY DEAN BENNETT
Active
Individual
MR. ZACHARY DEAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, CSSD, CSCS
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
3064
LA
Other
Enumeration date
06/01/2021
Last updated
02/12/2026
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