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General NPI Number Information
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NPI Number | 1154975233
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Entity Type | Individual
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Provider Name | KRISTINA BROWN RD, LD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2019
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 22834 RIVER BIRCH DR
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City | TOMBALL
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State | TX
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Zip | 77375-5421
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Country | US
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Telephone | 281-630-5717
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Fax |
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Provider Business Mailing Address
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Address Line | 22834 RIVER BIRCH DR
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City | TOMBALL
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State | TX
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Zip | 77375-5421
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Country | US
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Telephone | 281-630-5717
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | DT85919
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License Number State | TX
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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 | 86091515
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License Number State | TX
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