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General NPI Number Information
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NPI Number | 1760336499
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Entity Type | Individual
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Provider Name | ROSEMARIE WILD RDN, LD
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Gender | Female
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 8515 S I-35 FRONTAGE ROAD #7233
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City | AUSTIN
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State | TX
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Zip | 78744
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Country | US
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Telephone | 512-626-8695
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Fax |
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Provider Business Mailing Address
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Address Line | 8515 SOUTH I-35 FRONTAGE RD #7233
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City | AUSTIN
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State | TX
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Zip | 78744
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Country | US
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Telephone | 512-626-8695
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | DT90834
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License Number State | TX
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