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General NPI Number Information
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NPI Number | 1043246242
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Entity Type | Organization
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Legal Business Name | NUTRITION PARTNERS LLC
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 9636 N MAY AVE SUITE 274
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-2727
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Country | US
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Telephone | 405-848-9344
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Fax | 405-302-0333
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Provider Business Mailing Address
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Address Line | 9636 N MAY AVE SUITE 274
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-2727
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Country | US
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Telephone | 405-848-9344
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Fax | 405-302-0333
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANE SHEETS COOKE
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Credential | RD/LD
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Telephone | 405-848-9344
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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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