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General NPI Number Information
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NPI Number | 1255280236
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Entity Type | Organization
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Legal Business Name | AT THE TABLE NUTRITION
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 237 W LANCASTER AVE STE 253
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City | DEVON
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State | PA
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Zip | 19333-1592
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Country | US
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Telephone | 610-615-1055
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Fax | 610-598-6017
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Provider Business Mailing Address
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Address Line | 857 COLONY RD
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City | BRYN MAWR
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State | PA
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Zip | 19010-1103
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Country | US
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Telephone | 516-241-7928
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Fax |
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Authorized Official
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Title or Position | OWNER, REGISTERED DIETIAN
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Name | LISA WILLIAMS
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Credential | RD
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Telephone | 610-615-1055
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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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