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General NPI Number Information
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NPI Number | 1528125549
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Entity Type | Individual
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Provider Name | KATHERINE NESTOR SPAAR RD,LD
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1101 DECATUR ST
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City | SANDUSKY
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State | OH
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Zip | 44870-3335
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Country | US
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Telephone | 419-557-6996
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Fax |
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Provider Business Mailing Address
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Address Line | 39 W CHESTNUT ST
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City | NORWALK
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State | OH
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Zip | 44857-2356
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Country | US
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Telephone | 419-663-4282
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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 | 2138
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License Number State | OH
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