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General NPI Number Information
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NPI Number | 1942193404
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Entity Type | Organization
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Legal Business Name | JUST NOURISHMENT, LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1109 OAK PARK DRIVE
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City | FORT COLLINS
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State | CO
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Zip | 80525
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Country | US
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Telephone | 281-435-4539
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Fax |
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Provider Business Mailing Address
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Address Line | 3109 BRYCE DR
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City | FORT COLLINS
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State | CO
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Zip | 80525-3119
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Country | US
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Telephone | 281-435-4539
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAILIN HAMILTON
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Credential | MS, RDN, IBCLC
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Telephone | 281-435-4539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 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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