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General NPI Number Information
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NPI Number | 1518478429
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Entity Type | Individual
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Provider Name | KRISTA MIELNIK MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2049 E 100TH ST
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City | CLEVELAND
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State | OH
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Zip | 44106-2104
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Country | US
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Telephone | 216-444-3046
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Fax |
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Provider Business Mailing Address
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Address Line | 1289 WARREN RD
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City | LAKEWOOD
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State | OH
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Zip | 44107-2515
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Country | US
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Telephone | 216-445-3378
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Fax | 216-445-4356
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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 | LD.7985
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License Number State | OH
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