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General NPI Number Information
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NPI Number | 1013531953
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Entity Type | Organization
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Legal Business Name | KRISTEN MURRAY NUTRITION LLC
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Dates
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Enumeration Date | 06/06/2020
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 24500 CENTER RIDGE RD STE 265
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City | WESTLAKE
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State | OH
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Zip | 44145-5602
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Country | US
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Telephone | 216-395-4118
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Fax |
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Provider Business Mailing Address
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Address Line | 24500 CENTER RIDGE RD STE 265
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City | WESTLAKE
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State | OH
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Zip | 44145-5602
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Country | US
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Telephone | 216-395-4118
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Fax |
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Authorized Official
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Title or Position | DIETITIAN/OWNER
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Name | KRISTEN MURRAY
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Credential | RD, LD
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Telephone | 216-395-4118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 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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