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General NPI Number Information
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NPI Number | 1700767811
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Entity Type | Organization
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Legal Business Name | FAY NUTRITION NETWORK INC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 111 NORTH AVE SUITE 212
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City | BARRINGTON
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State | IL
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Zip | 60010
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Country | US
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Telephone | 630-635-5950
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Fax |
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Provider Business Mailing Address
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Address Line | 111 NORTH AVE STE 212
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City | BARRINGTON
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State | IL
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Zip | 60010-3257
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF CLINICAL OFFICER
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Name | RITA FAYCURRY
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Credential |
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Telephone | 630-635-5950
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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 |
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License Number State |
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