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General NPI Number Information
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NPI Number | 1205281136
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Entity Type | Organization
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Legal Business Name | NUTRITIOUS PLATE INC.
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 180 W END AVE APT 15G
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City | NEW YORK
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State | NY
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Zip | 10023-4902
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Country | US
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Telephone | 718-427-5265
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Fax |
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Provider Business Mailing Address
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Address Line | 180 W END AVE APT 15G
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City | NEW YORK
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State | NY
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Zip | 10023-4902
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Country | US
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Telephone | 718-427-5265
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | VIOLETTA LIVSHIZ
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Credential |
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Telephone | 718-427-5265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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