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General NPI Number Information
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NPI Number | 1851328207
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Entity Type | Organization
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Legal Business Name | NUTRITION ASSOCIATES OF EAST BRUNSWICK, INC.
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 123 DUNHAMS CORNER RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3532
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Country | US
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Telephone | 732-254-0113
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Fax | 732-254-2277
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Provider Business Mailing Address
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Address Line | 123 DUNHAMS CORNER RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3532
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Country | US
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Telephone | 732-254-0113
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Fax | 732-254-2277
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MRS. MARIA SAKOWITZ
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Credential | MS, RD
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Telephone | 732-254-0113
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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 | 721099
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License Number State | NJ
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