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NPI 1134648611

NPI 1134648611 : PYRAMID NUTRITION SERVICES, INC : WEST SPRINGFIELD, MA

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General NPI Number Information
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    NPI Number           |    1134648611
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    Entity Type          |    Organization 
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    Legal Business Name  |    PYRAMID NUTRITION SERVICES, INC 
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Dates
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    Enumeration Date     |    09/15/2017
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    Last Update Date     |    02/12/2026
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Provider Practice Location Address
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    Address Line         |    112 WESTFIELD ST STE C 
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    City                 |    WEST SPRINGFIELD
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    State                |    MA
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    Zip                  |    01089-2577
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    Country              |    US
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    Telephone            |    413-786-2957
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    128 TANNERY RD 
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    City                 |    WESTFIELD
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    State                |    MA
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    Zip                  |    01085-4841
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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    |    OWNER
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    Name                 |     NICOLE K FRANK-MASLAR 
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    Credential           |    
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    Telephone            |    413-786-2957
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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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