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General NPI Number Information
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NPI Number | 1952136228
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Entity Type | Organization
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Legal Business Name | JENN PITMAN NUTRITION
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 100 PINE ST
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City | MANCHESTER BY THE SEA
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State | MA
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Zip | 01944-1021
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Country | US
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Telephone | 310-663-1925
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PINE ST
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City | MANCHESTER BY THE SEA
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State | MA
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Zip | 01944-1021
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Country | US
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Telephone | 310-663-1925
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Fax |
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Authorized Official
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Title or Position | NUTRITIONIST
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Name | JENNIFER L SEELEY
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Credential | MS. CNS.
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Telephone | 310-663-1925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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