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Organization

ORIGINAL NOURISHMENT LLC

Active
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Organization

ORIGINAL NOURISHMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAYLOR FURY (OWNER)
(240) 205-6730
Entity
Organization

Contact information

Practice address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(240) 205-6730
Mailing address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(240) 205-6730

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
133NN1002X
Nutrition Education Nutritionist
171100000X
Acupuncturist
171400000X
Health & Wellness Coach
174H00000X
Health Educator
261QH0100X
Health Service Clinic/Center
Primary
261QM1300X
Multi-Specialty Clinic/Center
261QP3300X
Pain Clinic/Center

Other

Enumeration date
09/20/2024
Last updated
10/01/2024
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