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General NPI Number Information
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NPI Number | 1225707664
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Entity Type | Organization
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Legal Business Name | FOOD HEALTH COLLECTIVE
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Dates
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Enumeration Date | 09/09/2021
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1000 N WEST ST STE 1200
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City | WILMINGTON
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State | DE
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Zip | 19801-1058
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Country | US
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Telephone | 866-552-4272
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Fax | 800-852-6593
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Provider Business Mailing Address
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Address Line | 1000 N WEST ST STE 1200
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City | WILMINGTON
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State | DE
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Zip | 19801-1058
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Country | US
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Telephone | 866-552-4272
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Fax | 800-852-6593
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Authorized Official
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Title or Position | COO
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Name | KRISTA YODER LATORTUE
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Credential | MPH, RD
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Telephone | 866-552-4272
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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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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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Taxonomy #3
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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