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General NPI Number Information
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NPI Number | 1770970113
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Entity Type | Organization
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Legal Business Name | NUTRITION RS LLC
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 353 TERHUNE AVE
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City | PASSAIC
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State | NJ
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Zip | 07055-3326
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Country | US
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Telephone | 862-239-6370
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Fax | 973-521-5030
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Provider Business Mailing Address
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Address Line | 353 TERHUNE AVE
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City | PASSAIC
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State | NJ
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Zip | 07055-3326
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Country | US
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Telephone | 862-221-6391
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Fax | 973-521-5030
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Authorized Official
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Title or Position | OWNER/DIETITIAN
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Name | RITA SINGER
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Credential |
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Telephone | 862-239-6370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1011327
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License Number State | NJ
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