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General NPI Number Information
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NPI Number | 1659042323
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Entity Type | Organization
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Legal Business Name | NUTRICION PARA TODOS PSC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | CARR 831 KM 4 7 MINILLAS CARR 831 KM 4 7 MINILLAS
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City | BAYAMON
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State | PR
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Zip | 00960
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Country | US
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Telephone | 787-364-0423
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE 15 SE NUM 990 REPARTO METROPOLITANO
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City | SAN JUAN
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State | PR
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Zip | 00921-9998
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Country | US
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Telephone | 787-364-0423
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Fax |
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Authorized Official
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Title or Position | NUTRUCIONISTA
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Name | GISELA GONZALEZ
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Credential | LCDA
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Telephone | 787-364-0423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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