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General NPI Number Information
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NPI Number | 1841924677
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Entity Type | Organization
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Legal Business Name | HEALTHFUL & NATURAL LIVING LLC
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Dates
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Enumeration Date | 07/16/2022
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Last Update Date | 07/16/2022
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Provider Practice Location Address
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Address Line | 188 GRAND ST # 23
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City | NEW YORK
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State | NY
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Zip | 10013-3729
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Country | US
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Telephone | 646-717-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 539 ATLANTIC AVE # 170619
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City | BROOKLYN
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State | NY
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Zip | 11217-1913
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTONIA CHARLES
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Credential |
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Telephone | 646-717-5870
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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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Taxonomy #2
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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 #3
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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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