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General NPI Number Information
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NPI Number | 1083213391
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Entity Type | Organization
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Legal Business Name | THE KEYS TO NUTRITION, LLC
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 420 ALABAMA STREET UNIT B
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City | PONCHA SPRINGS
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State | CO
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Zip | 81201
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Country | US
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Telephone | 305-330-1933
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Fax | 786-901-8333
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Provider Business Mailing Address
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Address Line | PO BOX 175
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City | SALIDA
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State | CO
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Zip | 81201-0175
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Country | US
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Telephone | 305-330-1933
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Fax | 786-901-8333
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Authorized Official
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Title or Position | DIETITIAN/OWNER
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Name | COURTNEY JUNE SMITH
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Credential | RD
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Telephone | 305-330-1933
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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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