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General NPI Number Information
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NPI Number | 1558174482
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Entity Type | Organization
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Legal Business Name | SM NUTRITION, LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 1311 JAMESTOWN RD STE 202
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3391
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Country | US
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Telephone | 757-401-4024
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Fax | 757-244-9150
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Provider Business Mailing Address
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Address Line | 1311 JAMESTOWN RD STE 202
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3391
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Country | US
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Telephone | 757-401-4024
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Fax | 757-244-9150
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Authorized Official
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Title or Position | REGISTERED SPORTS DIETITIAN
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Name | STEPHANIE MILITANO
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Credential | MS, RD, CSSD
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Telephone | 757-401-4024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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