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General NPI Number Information
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NPI Number | 1104618271
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Entity Type | Organization
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Legal Business Name | EMMPOWERED NUTRITION LLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 104 SUMMIT DR
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City | SEWICKLEY
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State | PA
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Zip | 15143-8892
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Country | US
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Telephone | 412-716-5635
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 SANLIN DR
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City | CORAOPOLIS
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State | PA
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Zip | 15108-2825
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Country | US
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Telephone | 412-716-5635
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Fax |
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Authorized Official
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Title or Position | DIETITIAN
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Name | EMILY KILAR
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Credential | MS, CNS, LDN, CLC
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Telephone | 412-716-5635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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