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General NPI Number Information
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NPI Number | 1497306500
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Entity Type | Organization
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Legal Business Name | SPRING NUTRITION & WELLNESS COMPANY
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 3131 COLLEGE HEIGHTS BLVD STE 2400
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City | ALLENTOWN
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State | PA
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Zip | 18104-4817
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Country | US
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Telephone | 610-432-7733
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Fax |
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Provider Business Mailing Address
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Address Line | 5265 ROCKROSE LN BLDG E15
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City | ALLENTOWN
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State | PA
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Zip | 18104-8248
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Country | US
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Telephone | 570-972-6558
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Fax |
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Authorized Official
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Title or Position | OWNER AND ONLY MEMBER
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Name | KATHLEEN JONES
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Credential | LDN
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Telephone | 570-972-6558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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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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