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General NPI Number Information
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NPI Number | 1265111959
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Entity Type | Individual
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Provider Name | KRISTINA MARIE MCCARTHY MCN, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 4501 SPICEWOOD SPRINGS RD STE 1022
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City | AUSTIN
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State | TX
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Zip | 78759-8543
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Country | US
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Telephone | 512-257-0898
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Fax | 512-792-9912
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Provider Business Mailing Address
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Address Line | 11925 SNOW FINCH RD
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City | AUSTIN
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State | TX
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Zip | 78758-3307
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Country | US
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Telephone | 810-348-7491
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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 | DT85649
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License Number State | TX
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