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General NPI Number Information
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NPI Number | 1073302154
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Entity Type | Organization
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Legal Business Name | SYNERGIA NUTRITION, LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 11 APEX DR
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City | MARLBOROUGH
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State | MA
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Zip | 01752
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Country | US
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Telephone | 631-488-0877
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 634
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City | WARNER
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State | NH
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Zip | 03278-0634
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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 | MS, CNS, LDN
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Name | NATALLLIA LAMBRECHT
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Credential |
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Telephone | 631-488-0877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 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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