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General NPI Number Information
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NPI Number | 1528650736
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Entity Type | Individual
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Provider Name | STEPHANIE NICHOLE QUINT MS, RD, LDN, CHES
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Gender | Female
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 1640 W DIVISION ST
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City | CHICAGO
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State | IL
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Zip | 60622-3939
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Country | US
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Telephone | 855-552-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 202 W FOX HILL DR
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-7706
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Country | US
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Telephone | 847-668-1639
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 10239769
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND13102
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164.007172
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 108680
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 3240
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2014
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License Number State | WV
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Taxonomy #7
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DX8525
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License Number State | MD
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