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General NPI Number Information
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NPI Number | 1861145260
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Entity Type | Organization
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Legal Business Name | NAMASTE NOURISHED LLC
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 1915 NE 45TH ST STE 210
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5100
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Country | US
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Telephone | 954-641-2210
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Fax | 954-827-3399
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Provider Business Mailing Address
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Address Line | 1915 NE 45TH ST STE 210
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5100
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Country | US
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Telephone | 954-641-2210
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Fax | 954-827-3399
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Authorized Official
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Title or Position | FOUNDER
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Name | KERRY MCCARTHY
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Credential | MS, RD, LDN, CEDS-C
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Telephone | 631-512-2157
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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 |
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License Number State |
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