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General NPI Number Information
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NPI Number | 1497433213
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Entity Type | Organization
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Legal Business Name | FOOD FOR MOOD FUNCTIONAL NUTRITION, LLC
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 34 CHARLES RD
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City | STIRLING
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State | NJ
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Zip | 07980-1032
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Country | US
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Telephone | 908-367-3160
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Fax |
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Provider Business Mailing Address
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Address Line | 34 CHARLES RD
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City | STIRLING
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State | NJ
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Zip | 07980-1032
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Country | US
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Telephone | 908-367-3160
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA SALEMY
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Credential | CNS, LDN
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Telephone | 908-367-3160
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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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