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Fuel2live Nutrition, Llc
Preferred Provider Organization in Dorchester, Massachusetts
NPI 1104560374

Fuel2live Nutrition, Llc is a Preferred Provider Organization based in Dorchester, MA. Fuel2live Nutrition, Llc practices in Dorchester, MA. The NPI Number for Fuel2live Nutrition, Llc is 1104560374 and holds a License No. (Massachusetts).

The current practice location address for Fuel2live Nutrition, Llc is 48 Sudan St Apt 3, Dorchester, MA and can be reached out via phone at 617-308-0107.

Location: 48 Sudan St Apt 3, Dorchester, MA, 02125-2079
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104560374
Provider Name
Fuel2live Nutrition, Llc
Credential
Provider Entity Type
Organization
Address
48 Sudan St Apt 3, Dorchester, MA, 02125-2079
Phone Number
617-308-0107
Fax Number
Provider Enumeration Date
04/25/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003396417 05 MA
institution
Provider Business Practice Location Address Details
Address
48 Sudan St Apt 3
City
Dorchester
State
Massachusetts
Zip
02125-2079
Phone Number
617-308-0107
Fax Number
person
Provider Business Mailing Address Details
Address
48 Sudan St Apt 3
City
Dorchester
State
Massachusetts
Zip
02125-2079
Phone Number
617-308-0107
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
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Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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