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General NPI Number Information
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NPI Number | 1093649832
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Entity Type | Organization
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Legal Business Name | IPHRESH NUTRITION
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 1425 BEDFORD ST APT 3A
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City | STAMFORD
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State | CT
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Zip | 06905-5229
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Country | US
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Telephone | 203-550-7515
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Fax |
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Provider Business Mailing Address
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Address Line | 557 PROSPECT AVE # 102
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City | WEST HARTFORD
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State | CT
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Zip | 06105-2965
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Country | US
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Telephone | 203-550-7515
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | IJEOMA PAMELA NWAPA
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Credential | RD
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Telephone | 203-550-7515
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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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