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General NPI Number Information
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NPI Number | 1801170030
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Entity Type | Organization
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Legal Business Name | WELLNESS COACHING & NUTRITION THERAPY, PLLC
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 411 PARK GROVE #720
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 713-997-9613
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Fax | 713-903-7918
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Provider Business Mailing Address
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Address Line | 24384 PARAGON PLACE
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City | GOLDEN
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State | CO
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Zip | 80401
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Country | US
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Telephone | 713-997-9613
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Fax | 713-903-7918
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | MRS. JILL MICHELE SECHI
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Credential | MS, RDN, CEDS-C
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Telephone | 713-997-9613
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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 | DT04976
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License Number State | TX
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