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General NPI Number Information
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NPI Number | 1841870375
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Entity Type | Organization
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Legal Business Name | WELLNESS VIA NUTRITION
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 8 BREAKWATER LN
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City | WINDSOR
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State | CT
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Zip | 06095-3299
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Country | US
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Telephone | 860-634-1511
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BREAKWATER LN
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City | WINDSOR
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State | CT
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Zip | 06095-3299
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Country | US
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Telephone | 860-634-1511
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Fax |
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Authorized Official
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Title or Position | CLINICAL NUTRITIONIST, OWNER
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Name | SARAH FARID-CHAUDHRY
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Credential | MS, CNS
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Telephone | 860-634-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 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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