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General NPI Number Information
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NPI Number | 1265224745
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Entity Type | Organization
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Legal Business Name | NUTRITIONAL HEALTH CENTER
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 2 CALLE MUNOZ RIVERA SUITE 310 PROFESSIONAL CENTER BUILDING
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City | CAGUAS
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State | PR
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Zip | 00725-2604
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Country | US
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Telephone | 787-234-3435
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Fax |
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Provider Business Mailing Address
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Address Line | 800 CARR 189 CAMINITO ALTO 1 APT 942
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWER
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Name | VANESSA DIAZ
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Credential | RD
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Telephone | 787-234-3435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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