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Organization
CASE SPECIFIC NUTRITION LLC
Active
Organization
CASE SPECIFIC NUTRITION LLC
Active
Other names
A.M. Wade Nutrition Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROB MARTY (OFFICE ADMIN)
(412) 726-5607
Entity
Organization
Contact information
Practice address
5750 BAUM BLVD STE 306, PITTSBURGH, PA 15206-3793
(412) 593-2048
(844) 311-7396
Mailing address
5750 BAUM BLVD STE 306, PITTSBURGH, PA 15206-3793
(412) 726-5607
(844) 311-7396
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
174H00000X
Health Educator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038862390001
—
PA
05
—
1038862390002
—
PA
Enumeration date
08/27/2015
Last updated
04/22/2025
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