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General NPI Number Information
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NPI Number | 1467315382
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Entity Type | Organization
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Legal Business Name | NICOLE GROMAN NUTRITION INC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1178 BROADWAY # 534
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City | NEW YORK
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State | NY
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Zip | 10001-5404
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Country | US
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Telephone | 845-232-0489
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Fax |
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Provider Business Mailing Address
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Address Line | 1178 BROADWAY FL 3 #534
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City | NEW YORK
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State | NY
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Zip | 10001-5666
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NICOLE GROMAN
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Credential | MS, RDN
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Telephone | 516-457-3489
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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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