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General NPI Number Information
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NPI Number | 1386244226
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Entity Type | Organization
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Legal Business Name | KELSEY A RIGOPOULOS
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 418 PATRIOTS RD STE A
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City | TEMPLETON
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State | MA
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Zip | 01468-1614
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Country | US
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Telephone | 978-846-6164
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Fax | 978-334-0365
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Provider Business Mailing Address
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Address Line | 418 PATRIOTS RD STE A
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City | TEMPLETON
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State | MA
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Zip | 01468-1614
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Country | US
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Telephone | 978-846-6164
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Fax | 978-334-0365
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Authorized Official
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Title or Position | OWNER
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Name | KELSEY RIGOPOULOS
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Credential | RDN, LDN
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Telephone | 978-846-6164
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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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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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