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General NPI Number Information
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NPI Number | 1932614120
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Entity Type | Organization
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Legal Business Name | REROOT NUTRITION
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Dates
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Enumeration Date | 12/09/2017
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 7926 OLD SEWARD HWY STE A8
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City | ANCHORAGE
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State | AK
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Zip | 99518-3261
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Country | US
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Telephone | 907-921-1142
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Fax |
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Provider Business Mailing Address
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Address Line | 7926 OLD SEWARD HWY STE A8
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City | ANCHORAGE
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State | AK
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Zip | 99518-3261
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Country | US
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Telephone | 907-921-1142
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Fax |
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Authorized Official
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Title or Position | OWNER, REGISTERED DIETITIAN
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Name | KATHERINE SWEETMAN
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Credential | RDN, CEDS, LD
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Telephone | 907-921-1142
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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 | 101188
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License Number State | AK
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