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General NPI Number Information
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NPI Number | 1427916907
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Entity Type | Organization
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Legal Business Name | VICKIE KLIMANTIRIS NUTRITION LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 14112 GREENTREE TRL
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City | WELLINGTON
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State | FL
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Zip | 33414-4027
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Country | US
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Telephone | 561-818-1879
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Fax |
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Provider Business Mailing Address
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Address Line | 14112 GREENTREE TRL
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City | WELLINGTON
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State | FL
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Zip | 33414-4027
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Country | US
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Telephone | 561-818-1879
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VICKIE MARIE KLIMANTIRIS
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Credential | RD, LDN
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Telephone | 561-818-1879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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