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General NPI Number Information
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NPI Number | 1336960327
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Entity Type | Organization
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Legal Business Name | INUTRITION4U LLC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 9596 LAKE SERENA DR
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City | BOCA RATON
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State | FL
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Zip | 33496-6517
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Country | US
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Telephone | 954-415-0142
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Fax | 561-717-2026
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Provider Business Mailing Address
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Address Line | 9596 LAKE SERENA DR
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City | BOCA RATON
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State | FL
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Zip | 33496-6517
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Country | US
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Telephone | 954-415-0142
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHADIA HAMADEH
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Credential | MS,RDN,LDN,CLC
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Telephone | 954-415-0142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1101X
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Taxonomy Name | Gerontological Nutrition Registered Dietitian
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #5
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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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