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General NPI Number Information
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NPI Number | 1992954036
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Entity Type | Organization
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Legal Business Name | NUTRITION COACH INC
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Dates
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Enumeration Date | 09/13/2008
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 100 E LINTON BLVD SUITE 304B
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3327
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Country | US
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Telephone | 561-289-7215
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Fax | 561-210-1374
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Provider Business Mailing Address
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Address Line | 100 E LINTON BLVD SUITE 304B
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3327
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Country | US
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Telephone | 561-289-7215
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Fax | 561-210-1374
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIANNE KORITZ
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Credential | MS RD LDN
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Telephone | 561-289-7215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ND5063
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License Number State | FL
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