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General NPI Number Information
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NPI Number | 1013870260
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Entity Type | Organization
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Legal Business Name | CHRISTINE L P MASTRANGELO
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 4 QUAIL RUN HOLW
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City | NEWBURYPORT
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State | MA
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Zip | 01950-4508
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Country | US
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Telephone | 781-248-8238
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Fax |
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Provider Business Mailing Address
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Address Line | 4 QUAIL RUN HOLW
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City | NEWBURYPORT
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State | MA
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Zip | 01950-4508
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Country | US
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Telephone | 781-248-8238
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Fax |
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Authorized Official
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Title or Position | OWNER/ DIETITIAN
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Name | MS. CHRISTINE LYN PARADISE MASTRANGELO
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Credential | RDN
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Telephone | 781-248-8238
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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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