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General NPI Number Information
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NPI Number | 1033931654
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Entity Type | Organization
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Legal Business Name | NOURISH WELLNESS LLC
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Dates
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Enumeration Date | 10/25/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 200 N VINEYARD BLVD STE A325 #1122
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City | HONOLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 646-400-8723
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Fax | 808-663-0321
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Provider Business Mailing Address
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Address Line | 200 N VINEYARD BLVD STE A325 #1122
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City | HONOLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 646-400-8723
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA BECKER
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Credential | RD, MPH, NBC-HWC
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Telephone | 646-400-8723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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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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