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General NPI Number Information
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NPI Number | 1932068863
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Entity Type | Organization
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Legal Business Name | SW NUTRITION GROUP LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 5 W MENDENHALL ST STE 202
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City | BOZEMAN
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State | MT
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Zip | 59715-3566
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Country | US
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Telephone | 917-992-3192
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Fax |
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Provider Business Mailing Address
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Address Line | 125 E 84TH ST # 2A
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City | NEW YORK
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State | NY
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Zip | 10028-0902
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Country | US
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Telephone | 917-992-3192
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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 | MEGAN WOLF
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Credential | RD
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Telephone | 917-992-3192
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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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