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General NPI Number Information
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NPI Number | 1437875481
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Entity Type | Organization
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Legal Business Name | UNRESTRICTED NUTRITION COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 102 HOOVER AVE
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City | LOUISVILLE
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State | CO
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Zip | 80027-2151
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Country | US
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Telephone | 720-541-8684
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Fax |
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Provider Business Mailing Address
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Address Line | 102 HOOVER AVE
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City | LOUISVILLE
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State | CO
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Zip | 80027-2151
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Country | US
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Telephone | 720-541-8684
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Fax |
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Authorized Official
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Title or Position | OWNER/REGISTERED DIETITIAN
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Name | MS. STEFANIE GINSBURG
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Credential | RD, CEDRD-S
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Telephone | 720-541-8684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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