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General NPI Number Information
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NPI Number | 1639822604
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Entity Type | Individual
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Provider Name | ALESIA NEW MS, CNS, LDN, NBCHWC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 13790 BRIDGEWATER CROSSINGS BLVD STE 1080
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City | WINDERMERE
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State | FL
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Zip | 34786-5447
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Country | US
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Telephone | 407-476-5893
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Fax |
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Provider Business Mailing Address
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Address Line | 13790 BRIDGEWATER CROSSINGS BLVD STE 1080
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City | WINDERMERE
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State | FL
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Zip | 34786-5447
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Country | US
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Telephone | 407-476-5893
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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 | ND11174
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-3964105
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | ND11174
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | ND11174
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License Number State | FL
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