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General NPI Number Information
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NPI Number | 1457208118
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Entity Type | Organization
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Legal Business Name | PLENISH NUTRITION
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 700 CANAL ST STE 1
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City | STAMFORD
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State | CT
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Zip | 06902-5921
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Country | US
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Telephone | 301-842-8492
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Fax | 202-883-5382
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Provider Business Mailing Address
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Address Line | 700 CANAL ST STE 1
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City | STAMFORD
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State | CT
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Zip | 06902-5921
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Country | US
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Telephone | 301-842-8492
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Fax | 202-883-5382
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Authorized Official
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Title or Position | OWNER/NUTRITIONIST
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Name | KATE BROCK
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Credential | CNS,LDN
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Telephone | 301-842-8492
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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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