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General NPI Number Information
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NPI Number | 1689186959
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Entity Type | Organization
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Legal Business Name | INTUITIVE NUTRITION MIAMI LLC
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 130 S SHORE DR APT 4C
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3984
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Country | US
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Telephone | 305-965-7546
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Fax |
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Provider Business Mailing Address
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Address Line | 130 S SHORE DR APT 4C
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3984
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Country | US
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Telephone | 305-965-7546
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE TELLEZ
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Credential | MS, RD, LD
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Telephone | 305-965-7546
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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 | ND8148
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License Number State | FL
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