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General NPI Number Information
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NPI Number | 1720967094
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Entity Type | Organization
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Legal Business Name | SK NUTRITION
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 31 DELMONT ST
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City | MANCHESTER
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State | CT
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Zip | 06042-3511
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Country | US
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Telephone | 860-818-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 31 DELMONT ST
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City | MANCHESTER
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State | CT
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Zip | 06042-3511
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Country | US
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Telephone | 860-818-9595
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Fax |
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Authorized Official
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Title or Position | OWNER/REGISTERED DIETITIAN
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Name | SARAH KHAN
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Credential | MS, RD, CDN
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Telephone | 860-818-9595
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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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