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General NPI Number Information
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NPI Number | 1770244014
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Entity Type | Organization
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Legal Business Name | JANEL FUNK NUTRITION AND WELLNESS LLC
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Dates
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Enumeration Date | 01/09/2022
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 17 ROBINHOOD RD
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City | NATICK
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State | MA
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Zip | 01760-2552
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Country | US
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Telephone | 508-954-4159
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Fax |
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Provider Business Mailing Address
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Address Line | 17 ROBINHOOD RD
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City | NATICK
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State | MA
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Zip | 01760-2552
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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 | OWNER
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Name | JANEL FUNK
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Credential | RD
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Telephone | 508-954-4159
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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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