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General NPI Number Information
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NPI Number | 1952234668
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Entity Type | Organization
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Legal Business Name | JDS NUTRITION
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 3724 30TH ST APT 2C
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-2869
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Country | US
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Telephone | 929-483-4539
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Fax |
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Provider Business Mailing Address
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Address Line | 20 SHORE PARK RD
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City | GREAT NECK
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State | NY
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Zip | 11023-2035
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Country | US
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Telephone | 516-423-1110
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN NUTRITIONIST
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Name | JESSICA SHAMASH
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Credential | RDN, CDL, LD
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Telephone | 516-423-1110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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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 | 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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Taxonomy #3
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Taxonomy Code | 133VN1101X
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Taxonomy Name | Gerontological Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133VN1501X
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Taxonomy Name | Sports Dietetics Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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