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General NPI Number Information
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NPI Number | 1053036996
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Entity Type | Organization
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Legal Business Name | ECH NUTRITION LLC
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 2039 NORTH HALSTED STREET
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City | CHICAGO
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State | IL
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Zip | 60614
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Country | US
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Telephone | 847-347-1431
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Fax |
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Provider Business Mailing Address
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Address Line | 939 W NORTH AVE STE 750
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City | CHICAGO
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State | IL
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Zip | 60642-7142
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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 | FOUNDER
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Name | ELIZABETH COPPEDGE HOLSTEIN
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Credential | RD
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Telephone | 847-347-1431
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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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