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General NPI Number Information
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NPI Number | 1639760739
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Entity Type | Organization
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Legal Business Name | NUTRITION IN MOTION
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 31 BUHL LN
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-5215
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Country | US
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Telephone | 516-330-6040
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Fax | 516-548-5264
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Provider Business Mailing Address
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Address Line | 31 BUHL LN
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-5215
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Country | US
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Telephone |
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Fax | 516-548-5264
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Authorized Official
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Title or Position | PRESIDENT, REGISTERED DIETITIAN
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Name | CRISTINA RIVERA
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Credential |
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Telephone | 516-712-5475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1501X
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Taxonomy Name | Sports Dietetics Nutrition Registered Dietitian
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License Number |
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License Number State |
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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 |
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License Number State |
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