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General NPI Number Information
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NPI Number | 1396685913
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Entity Type | Organization
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Legal Business Name | SPROUTING NUTRITION LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 211 W LEXINGTON AVE STE 104
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City | HIGH POINT
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State | NC
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Zip | 27262-2570
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Country | US
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Telephone | 336-278-1405
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Fax |
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Provider Business Mailing Address
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Address Line | 3112 ALTAMAHAW UNION RIDGE RD
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City | BURLINGTON
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State | NC
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Zip | 27217-7310
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Country | US
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Telephone | 336-514-7601
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | GRACE DANIEL GARRETT
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Credential | RDN
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Telephone | 336-514-7601
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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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