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NPI Code Detail

MEDICARE: RACHEL GUGGENHEIM NUTRITION LLC

MEDICARE: RACHEL GUGGENHEIM NUTRITION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1801643515
Entity Type Code : Organization
Provider Name (Legal Business Name) : RACHEL GUGGENHEIM NUTRITION LLC
Provider Business Mailing Address
First Line : 5205 CONGRESS AVE APT 700
Second Line :
City : BOCA RATON
State : FL
Zip : 33487-3960
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5205 CONGRESS AVE APT 700
Second Line :
City : BOCA RATON
State : FL
Zip : 33487-3960
Country : US
Telephone Number : 317-616-8325
Fax Number :
Authorized Official
Title or Position : REGISTERED DIETITIAN
Name : RACHEL GUGGENHEIM
Credential : MS, RDN, LD
Telephone Number : 317-616-8325
Provider Enumeration Date : 05/01/2024
Last Update Date : 05/01/2024

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Directions to “RACHEL GUGGENHEIM NUTRITION LLC ” Practice Location

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