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General NPI Number Information
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NPI Number | 1225845043
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Entity Type | Individual
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Provider Name | KRISTINA CAVALLARI RHN
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 715 HUNTINGDON CRESCENT
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City | NORTH VANCOUVER
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State | BC
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Zip | V7G 1M1
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Country | CA
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Telephone | 604-364-3086
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Fax |
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Provider Business Mailing Address
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Address Line | 715 HUNTINGDON CRESCENT
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City | NORTH VANCOUVER
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State | BC
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Zip | V7G 1M1
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Country | CA
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | N616914
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License Number State | ZZ
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