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Organization
THE NUTRITION CONNECTION, LLC
Active
Organization
THE NUTRITION CONNECTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PAPASTEPHANOU MS,RD,LDN,CD5 (OWNER AND HEAD PROVIDER OF ABOVE CO)
(410) 321-5050
Entity
Organization
Contact information
Practice address
515 FAIRMOUNT AVE, STE 340, TOWSON, MD 21286-5466
(410) 321-5050
(410) 321-5050
Mailing address
PO BOX 36144, TOWSON, MD 21286-6144
(410) 321-5050
(410) 321-5050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
N00262
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16NU
BLUE CROSS BLUE SHIELD MD
MD
Enumeration date
04/11/2006
Last updated
08/22/2020
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