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General NPI Number Information
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NPI Number | 1265116073
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Entity Type | Organization
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Legal Business Name | VOLITION DIETITIAN LLC
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 6810 ROOSEVELT WAY NE APT 523
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City | SEATTLE
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State | WA
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Zip | 98115-6679
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Country | US
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Telephone | 406-451-5891
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Fax |
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Provider Business Mailing Address
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Address Line | 6810 ROOSEVELT WAY NE APT 523
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City | SEATTLE
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State | WA
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Zip | 98115-6679
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Country | US
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Telephone | 406-451-5891
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Fax |
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Authorized Official
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Title or Position | DIETITIAN/OWNER
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Name | HILARY REGAN
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Credential | RDN
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Telephone | 406-451-5891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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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 | 133VN1501X
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Taxonomy Name | Sports Dietetics Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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