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General NPI Number Information
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NPI Number | 1215790522
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Entity Type | Organization
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Legal Business Name | NEORISHED LLC
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 11 PRALL RD
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-8200
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Country | US
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Telephone | 609-285-6192
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Fax |
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Provider Business Mailing Address
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Address Line | 11 PRALL RD
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-8200
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Country | US
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Telephone | 609-285-6192
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MANSI PARIKH
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Credential | MS, RD
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Telephone | 609-285-6192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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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