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General NPI Number Information
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NPI Number | 1134072671
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Entity Type | Organization
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Legal Business Name | EMBRACE WHOLE HEALTH, LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 501 W SAINT GERMAIN STREET, 2ND & 3RD FLOOR
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City | ST. CLOUD
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State | MN
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Zip | 56301-3633
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Country | US
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Telephone | 612-355-6836
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Fax |
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Provider Business Mailing Address
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Address Line | 501 W SAINT GERMAIN STREET, 2ND & 3RD FLOOR
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City | ST. CLOUD
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State | MN
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Zip | 56301-3633
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER & FOUNDER
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Name | CASSANDRA PEDERSEN
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Credential | RD
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Telephone | 612-355-6836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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