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NPI 1437470820

NPI 1437470820 : NUTRITION HEALTH & YOU LLC : STRATFORD, CT

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General NPI Number Information
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    NPI Number           |    1437470820
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    Entity Type          |    Organization 
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    Legal Business Name  |    NUTRITION HEALTH & YOU LLC 
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Dates
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    Enumeration Date     |    06/20/2010
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    Last Update Date     |    06/20/2010
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Provider Practice Location Address
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    Address Line         |    115 SHORT BEACH RD UNIT 208A 
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    City                 |    STRATFORD
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    State                |    CT
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    Zip                  |    06615-7673
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    Country              |    US
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    Telephone            |    203-521-3280
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    Fax                  |    203-378-6534
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Provider Business Mailing Address
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    Address Line         |    115 SHORT BEACH RD UNIT 208A 
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    City                 |    STRATFORD
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    State                |    CT
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    Zip                  |    06615-7673
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    Country              |    US
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    Telephone            |    203-521-3280
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    Fax                  |    203-378-6534
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Authorized Official
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    Title or Position    |    DIETITIAN/NUTRITIONIST
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    Name                 |    MRS. CAREY JAIMIE BIONDI 
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    Credential           |    RD, CD-N
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    Telephone            |    203-521-3280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    302R00000X
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    Taxonomy Name        |    Health Maintenance Organization
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    License Number       |    000889
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    License Number State |    CT
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