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General NPI Number Information
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NPI Number | 1861337602
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Entity Type | Organization
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Legal Business Name | EVERROOT NUTRITION
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 21031 VENTURA BLVD STE 200
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-6517
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Country | US
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Telephone | 213-649-3122
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Fax | 213-561-5275
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Provider Business Mailing Address
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Address Line | 21031 VENTURA BLVD STE 200
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-6517
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Country | US
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Telephone | 213-649-3122
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Fax | 213-561-5275
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Authorized Official
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Title or Position | OWNER/RDN
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Name | NILOUFAR FARIVARMOHEB
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Credential | MS, RDN, CDCES
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Telephone | 213-649-3122
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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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