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General NPI Number Information
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NPI Number | 1356058846
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Entity Type | Organization
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Legal Business Name | KRISTAL PILAVAS NUTRITION COUNSELING PLLC
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 276 5TH AVE STE 704-2180
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City | NEW YORK
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State | NY
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Zip | 10001-4509
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Country | US
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Telephone | 347-201-1150
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Fax | 866-312-4192
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Provider Business Mailing Address
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Address Line | 6028 FIELDSTON RD
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City | BRONX
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State | NY
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Zip | 10471-1804
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Country | US
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Telephone | 914-844-8407
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTAL PILAVAS
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Credential | MS, RDN, CDN, CDCES
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Telephone | 347-201-1150
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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 |
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License Number State |
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