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General NPI Number Information
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NPI Number | 1346492154
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Entity Type | Organization
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Legal Business Name | NUTRITION & HEALTH CONSULTANTS, LTD.
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Dates
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Enumeration Date | 10/13/2008
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Last Update Date | 10/13/2008
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Provider Practice Location Address
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Address Line | 900 SKOKIE BLVD SUITE 206
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City | NORTHBROOK
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State | IL
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Zip | 60062-4012
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Country | US
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Telephone | 847-272-8500
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Fax | 847-272-8501
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Provider Business Mailing Address
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Address Line | 900 SKOKIE BLVD SUITE 206
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City | NORTHBROOK
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State | IL
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Zip | 60062-4012
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Country | US
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Telephone | 847-272-8500
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Fax | 847-272-8501
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOELLEN KAUFMAN
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Credential | M.S.,L.D.N.
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Telephone | 847-272-8500
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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 | 164.004023
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License Number State | IL
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