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NPI 1528608866

NPI 1528608866 : KRISTINE NADLER MS, RD, CSOWM, LD : HENDERSONVILLE, TN

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General NPI Number Information
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    NPI Number           |    1528608866
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTINE NADLER MS, RD, CSOWM, LD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/15/2020
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    Last Update Date     |    11/21/2024
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Provider Practice Location Address
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    Address Line         |    355 NEW SHACKLE ISLAND RD STE 128B 
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    City                 |    HENDERSONVILLE
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    State                |    TN
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    Zip                  |    37075-2479
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    Country              |    US
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    Telephone            |    615-492-6116
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    Fax                  |    615-334-8962
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Provider Business Mailing Address
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    Address Line         |    1196 HORSE TRAIL CT 
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    City                 |    HAMILTON
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    State                |    OH
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    Zip                  |    45013-4043
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    Country              |    US
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    Telephone            |    513-478-2014
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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       |    5045
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    133VN1201X
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    Taxonomy Name        |    Obesity and Weight Management Nutrition Registered Dietitian
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    License Number       |    4308
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    133VN1201X
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    Taxonomy Name        |    Obesity and Weight Management Nutrition Registered Dietitian
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    License Number       |    5045
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    4309
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    License Number State |    TN
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