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General NPI Number Information
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NPI Number | 1386016236
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Entity Type | Organization
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Legal Business Name | JULIE FREEMAN NUTRITION SERVICES LLC
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 409 N. 6TH STREET
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City | TEMPLE
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State | TX
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Zip | 76501
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Country | US
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Telephone | 781-237-9016
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Fax | 781-236-6126
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Provider Business Mailing Address
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Address Line | 409 N. 6TH STREET
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City | TEMPLE
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State | TX
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Zip | 76501
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Country | US
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Telephone | 781-237-9016
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Fax | 781-236-6126
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Authorized Official
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Title or Position | LICENSED NUTRITIONIST
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Name | MS. JULIE ANNE FREEMAN
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Credential | LD, RD
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Telephone | 781-237-9016
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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 | 162
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License Number State | MA
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