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General NPI Number Information
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NPI Number | 1316653777
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Entity Type | Organization
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Legal Business Name | AI NUTRITION CORP.
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 99 WALL ST # 1663
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City | NEW YORK
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State | NY
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Zip | 10005-4301
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Country | US
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Telephone | 888-288-9926
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Fax |
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Provider Business Mailing Address
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Address Line | 99 WALL ST # 1663
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City | NEW YORK
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State | NY
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Zip | 10005-4301
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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 | CEO & FOUNDER
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Name | ROMAN KALISTA
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Credential |
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Telephone | 888-288-9926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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