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General NPI Number Information
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NPI Number | 1780477125
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Entity Type | Organization
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Legal Business Name | REDEEMING LIFE NUTRITION, LLC.
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 9 UNION SQ UNIT 1134
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City | SOUTHBURY
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State | CT
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Zip | 06488-2204
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Country | US
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Telephone | 203-718-6335
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Fax |
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Provider Business Mailing Address
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Address Line | 17A HERITAGE CRST
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City | SOUTHBURY
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State | CT
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Zip | 06488-1370
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Country | US
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Telephone | 203-470-8380
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Fax |
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Authorized Official
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Title or Position | NUTRITIONIST
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Name | DREW KEELIA MULVEY
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Credential | CNS, CDN
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Telephone | 203-470-8380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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