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NPI 1457534406

NPI 1457534406 : NINA MEISNER KOLBE RD LD CSR : KENSINGTON, MD

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General NPI Number Information
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    NPI Number           |    1457534406
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    Entity Type          |    Individual 
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    Provider Name        |    NINA MEISNER KOLBE RD LD CSR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/13/2007
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    Last Update Date     |    03/17/2022
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Provider Practice Location Address
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    Address Line         |    10810 CONNECTICUT AVE 
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    City                 |    KENSINGTON
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    State                |    MD
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    Zip                  |    20895-2138
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    Country              |    US
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    Telephone            |    301-816-5853
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    215 E ST SE 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20003-1939
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    Country              |    US
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    Telephone            |    202-544-5220
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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        |    133VN1005X
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    Taxonomy Name        |    Renal Nutrition Registered Dietitian
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    License Number       |    D1225
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    License Number State |    DC
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Taxonomy #2
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    D00901
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    License Number State |    MD
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