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General NPI Number Information
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NPI Number | 1013630177
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Entity Type | Organization
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Legal Business Name | NUTRITION THAT HEALS
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 554 W KING ST STE 109
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City | LANCASTER
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State | PA
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Zip | 17603-3661
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Country | US
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Telephone | 717-208-2368
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Fax |
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Provider Business Mailing Address
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Address Line | 618 1ST ST
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City | LANCASTER
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State | PA
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Zip | 17603-3622
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND REGISTERED DIETITIAN NUTR
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Name | JESSICA CANNON
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Credential | MS, RDN, LDN
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Telephone | 717-208-2368
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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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