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General NPI Number Information
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NPI Number | 1174248520
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Entity Type | Individual
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Provider Name | KATHERINE L GROTE RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 10/07/2022
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2225 MOUNT AVE
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City | MISSOULA
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State | MT
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Zip | 59801-5207
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Country | US
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Telephone | 423-227-1849
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Fax |
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Provider Business Mailing Address
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Address Line | 2225 MOUNT AVE
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City | MISSOULA
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State | MT
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Zip | 59801-5207
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Country | US
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Telephone | 423-227-1849
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DT92282
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 155735
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 012601
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN007831
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 5059
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2739
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License Number State | CT
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