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General NPI Number Information
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NPI Number | 1508291857
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Entity Type | Organization
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Legal Business Name | NUTRITION INC.
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 09/05/2013
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Provider Practice Location Address
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Address Line | 12620 YATES ST
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City | BROOMFIELD
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State | CO
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Zip | 80020-5788
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Country | US
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Telephone | 720-466-2995
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1112
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City | BROOMFIELD
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State | CO
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Zip | 80038-1112
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Country | US
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Telephone | 720-466-2995
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KATALIN PFEIFFER
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Credential |
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Telephone | 303-995-5197
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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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