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General NPI Number Information
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NPI Number | 1770408510
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Entity Type | Organization
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Legal Business Name | A NEW KAPEESH NUTRITION LLC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 13201 NW FWY STE 800
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City | HOUSTON
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State | TX
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Zip | 77040-6157
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Country | US
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Telephone | 832-674-0884
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Fax |
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Provider Business Mailing Address
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Address Line | 13201 NW FWY STE 800 PMB 17458989
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City | HOUSTON
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State | TX
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Zip | 77040-6157
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Country | US
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Telephone | 832-674-0884
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KENISHA CHISHOLM
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Credential | MS, RDN, LD
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Telephone | 832-674-0884
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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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