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General NPI Number Information
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NPI Number | 1609182393
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Entity Type | Organization
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Legal Business Name | KEY NUTRITION LLC
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 200 W WASHINGTON SQ STE 120
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3581
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Country | US
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Telephone | 215-305-8860
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Fax | 215-305-8862
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Provider Business Mailing Address
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Address Line | 200 W WASHINGTON SQ STE 120
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3581
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Country | US
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Telephone | 215-305-8860
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Fax | 215-305-8862
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Authorized Official
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Title or Position | MEMBER
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Name | MS. OLENA ZINSHTEIN
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Credential | R.D.
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Telephone | 215-305-8860
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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 | DN004321
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License Number State | PA
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