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General NPI Number Information
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NPI Number | 1689445561
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Entity Type | Organization
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Legal Business Name | THE NUTRITION ATTACHE
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 1200 HIGH RIDGE RD STE FL2
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City | STAMFORD
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State | CT
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Zip | 06905-1223
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Country | US
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Telephone | 212-589-8902
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Fax | 646-904-8700
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Provider Business Mailing Address
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Address Line | 248 THORNWOOD RD
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City | STAMFORD
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State | CT
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Zip | 06903-2601
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Country | US
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Telephone | 212-589-8902
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | KERRY ELISABETH ST PIERRE
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Credential | CNS LDN
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Telephone | 212-589-8902
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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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