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General NPI Number Information
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NPI Number | 1316745920
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Entity Type | Organization
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Legal Business Name | SPROUT FERTILITY
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1960 N LINCOLN PARK W APT 1804
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City | CHICAGO
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State | IL
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Zip | 60614-5444
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Country | US
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Telephone | 224-623-3356
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Fax |
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Provider Business Mailing Address
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Address Line | 1960 N LINCOLN PARK W APT 1804
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City | CHICAGO
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State | IL
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Zip | 60614-5444
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Country | US
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Telephone | 224-623-3356
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Fax |
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Authorized Official
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Title or Position | NUTRITIONIST
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Name | REBECCA ROMERO
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Credential | CNS, LDN
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Telephone | 224-623-3356
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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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