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General NPI Number Information
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NPI Number | 1184588139
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Entity Type | Organization
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Legal Business Name | NOURISHED HOPE LLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 337 E MAIN ST STE 2B
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City | SOMERVILLE
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State | NJ
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Zip | 08876-3109
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Country | US
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Telephone | 908-524-0214
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Fax |
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Provider Business Mailing Address
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Address Line | 103 LINCOLN AVE
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2612
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Country | US
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Telephone | 908-524-0214
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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 | MRS. CHRISTINE DESOUZA
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Credential | MS, RD, CEDS-C
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Telephone | 908-524-0214
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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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