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General NPI Number Information
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NPI Number | 1194298463
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Entity Type | Individual
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Provider Name | SARAH KESTNER
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Gender | Female
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 1325 N HIGHLAND AVE
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City | AURORA
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State | IL
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Zip | 60506-1449
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Country | US
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Telephone | 630-859-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 420 GRAPE VINE TRL
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City | OSWEGO
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State | IL
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Zip | 60543-6037
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Country | US
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Telephone |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164.006810
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License Number State | IL
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