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NPI 1952986986

NPI 1952986986 : NUTRIAID CONSULTING, LLC : VOORHEES, NJ

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General NPI Number Information
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    NPI Number           |    1952986986
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    Entity Type          |    Organization 
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    Legal Business Name  |    NUTRIAID CONSULTING, LLC 
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Dates
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    Enumeration Date     |    03/11/2021
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    Last Update Date     |    03/17/2021
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Provider Practice Location Address
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    Address Line         |    4, NINTH STREET 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-4877
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    Country              |    US
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    Telephone            |    856-520-3451
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    Fax                  |    856-772-9349
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Provider Business Mailing Address
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    Address Line         |    4, NINTH STREET 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-4877
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    Country              |    US
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    Telephone            |    856-520-3451
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    Fax                  |    856-772-9349
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. NIDHI  AGRAWAL 
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    Credential           |    PHD; RDN
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    Telephone            |    856-520-3451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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