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General NPI Number Information
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NPI Number | 1174203210
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Entity Type | Organization
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Legal Business Name | NATURE NURTURE NOURISH LLC
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 10 VERMONT AVE
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City | SAUGUS
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State | MA
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Zip | 01906-2441
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Country | US
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Telephone | 339-203-5014
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Fax |
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Provider Business Mailing Address
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Address Line | 10 VERMONT AVE
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City | SAUGUS
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State | MA
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Zip | 01906-2441
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Country | US
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Telephone | 603-769-0430
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Fax |
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Authorized Official
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Title or Position | OWNER, REGISTERED DIETITIAN
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Name | ALLISON DEPAOLO
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Credential | MS, RD, LDN
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Telephone | 857-228-4840
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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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