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General NPI Number Information
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NPI Number | 1285133223
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Entity Type | Organization
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Legal Business Name | NUTRITIONAL THERAPEUTICS LLC
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 1645 PALM BEACH LAKES BLVD STE 1200
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2214
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Country | US
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Telephone | 561-365-8384
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Fax | 561-760-4082
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Provider Business Mailing Address
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Address Line | 1645 PALM BEACH LAKES BLVD STE 1200
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2214
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Country | US
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Telephone | 913-240-6835
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Fax | 561-760-4082
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Authorized Official
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Title or Position | DIETITIAN CONSULTANT
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Name | CHELSEA CARR
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Credential |
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Telephone | 561-365-8384
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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 | ND7902
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License Number State | FL
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