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General NPI Number Information
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NPI Number | 1326661877
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Entity Type | Individual
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Provider Name | KRISTINA MARIE LOUISE LOREY REGISTERED DIETICIAN
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Gender | Female
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 100 CALIFORNIA DRIVE
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City | YOUNTVILLE
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State | CA
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Zip | 94599-1412
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Country | US
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Telephone | 707-944-4506
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Fax | 707-944-5052
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Provider Business Mailing Address
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Address Line | 100 CALIFORNIA DRIVE, 3E, ROOM 13
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City | YOUNTVILLE
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State | CA
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Zip | 94599-1412
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Country | US
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Telephone | 707-944-4506
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Fax | 707-944-5052
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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 | 86106669
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License Number State | CA
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