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General NPI Number Information
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NPI Number | 1912857533
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Entity Type | Organization
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Legal Business Name | REMEDY ROOTS NUTRITON LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 3540 12TH ST # 5
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City | RIVERSIDE
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State | CA
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Zip | 92501-3802
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Country | US
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Telephone | 415-307-9853
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Fax |
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Provider Business Mailing Address
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Address Line | 4661 SIERRA VISTA AVE APT 303
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City | RIVERSIDE
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State | CA
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Zip | 92505-8532
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Country | US
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Telephone | 415-307-9853
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Fax |
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Authorized Official
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Title or Position | DIETITIAN
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Name | MISS ILSA ARIAS
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Credential | RDN
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Telephone | 415-307-9853
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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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Taxonomy #2
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1301X
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Taxonomy Name | Oncology Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133VN1401X
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Taxonomy Name | Pediatric Critical Care Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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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 |
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License Number State |
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