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General NPI Number Information
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NPI Number | 1952249708
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Entity Type | Organization
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Legal Business Name | SUN STATE NUTRITION
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 10106 ARROW CREEK RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-4300
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Country | US
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Telephone | 305-494-7069
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Fax | 727-997-0009
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Provider Business Mailing Address
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Address Line | 10106 ARROW CREEK RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-4300
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Country | US
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Telephone | 305-494-7069
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Fax | 727-997-0009
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA ELENA MONACO
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Credential | RD, LD/N, IBCLC
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Telephone | 305-494-7069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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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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