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General NPI Number Information
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NPI Number | 1073301339
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Entity Type | Organization
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Legal Business Name | NUTRITION LAB LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1507 AVE PONCE DE LEON SUITE #101
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-403-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 AVE PONCE DE LEON SUITE 301 PMB 2038
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-461-6452
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Fax |
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Authorized Official
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Title or Position | NUTRITIONIST
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Name | SACHELLY JULIAN-SERRANO
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Credential | RDN
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Telephone | 787-461-6452
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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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