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General NPI Number Information
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NPI Number | 1487387544
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Entity Type | Organization
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Legal Business Name | NUTRIHEALTH LLC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 77 MILFORD NECK RD
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City | MILFORD
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State | DE
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Zip | 19963-6700
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Country | US
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Telephone | 302-400-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 20930 DUPONT BLVD UNIT 202
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City | GEORGETOWN
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State | DE
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Zip | 19947-1724
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Country | US
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Telephone | 302-856-3737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BESHARA HELOU
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Credential | MD
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Telephone | 302-381-2882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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