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NPI 1316453178

NPI 1316453178 : JOHANNA RICHTER NUTRITION WELLNESS LLC : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1316453178
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHANNA RICHTER NUTRITION WELLNESS LLC 
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Dates
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    Enumeration Date     |    12/15/2017
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    Last Update Date     |    03/14/2026
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Provider Practice Location Address
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    Address Line         |    2801 ALASKAN WAY # 405 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98121-1134
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    Country              |    US
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    Telephone            |    206-880-0108
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2801 ALASKAN WAY # 405 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98121-1134
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    Country              |    US
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    Telephone            |    206-880-0108
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    Fax                  |    
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Authorized Official
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    Title or Position    |    REGISTERED DIETITIAN NUTRITIONIST
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    Name                 |     JOHANNA  RICHTER 
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    Credential           |    MS, RDN, LDN
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    Telephone            |    206-880-0108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    164007118
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    License Number State |    IL
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