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General NPI Number Information
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NPI Number | 1588199293
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Entity Type | Organization
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Legal Business Name | LOOP NUTRITION INC
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 16 N PEORIA ST
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City | CHICAGO
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State | IL
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Zip | 60607-2609
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Country | US
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Telephone | 312-929-0938
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Fax | 312-268-5465
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Provider Business Mailing Address
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Address Line | 1150 N LAKE SHORE DR APT 17A
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City | CHICAGO
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State | IL
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Zip | 60611-5215
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Country | US
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Telephone | 312-363-7136
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Fax | 312-268-5465
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CIHAN M COMEZ
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Credential |
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Telephone | 312-363-7136
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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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