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General NPI Number Information
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NPI Number | 1023737483
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Entity Type | Organization
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Legal Business Name | NUTRITION CONSULTING SERVICES
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 310 FALLER DR APT C
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City | NEW MILFORD
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State | NJ
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Zip | 07646-5203
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Country | US
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Telephone | 201-937-3296
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 432
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City | NEW MILFORD
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State | NJ
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Zip | 07646-0432
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Country | US
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Telephone | 201-937-3296
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALINA GONZALEZ
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Credential | MS,CDN
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Telephone | 201-937-3296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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