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General NPI Number Information
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NPI Number | 1699537381
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Entity Type | Organization
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Legal Business Name | NUTRICATION LTD
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 19 WASHINGTON AVE
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City | SOUND BEACH
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State | NY
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Zip | 11789-2551
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Country | US
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Telephone | 631-576-7204
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Fax |
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Provider Business Mailing Address
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Address Line | 19 WASHINGTON AVE
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City | SOUND BEACH
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State | NY
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Zip | 11789-2551
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Country | US
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Telephone | 631-576-7204
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | STEVEN FRANCIS BIAMONTE
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Credential | RD, LD
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Telephone | 631-576-7204
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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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