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General NPI Number Information
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NPI Number | 1215749791
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Entity Type | Organization
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Legal Business Name | NILA WILLIAMSON NUTRITION PLLC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 323 MAPLE PARK AVE SE
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City | OLYMPIA
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State | WA
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Zip | 98501-2360
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Country | US
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Telephone | 360-499-6791
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Fax |
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Provider Business Mailing Address
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Address Line | 120 STATE AVE NE # 265
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City | OLYMPIA
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State | WA
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Zip | 98501-1131
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Country | US
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Telephone | 360-499-6791
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NILA WILLIAMSON
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Credential | RD, IBCLC
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Telephone | 360-499-6791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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License Number State |
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