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General NPI Number Information
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NPI Number | 1538179148
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Entity Type | Individual
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Provider Name | KRISTINE BAHR MNT
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 320 WASHINGTON ST. SUITE 401
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City | BROOKLINE
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State | MA
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Zip | 02445
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Country | US
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Telephone | 413-528-9838
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Fax |
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Provider Business Mailing Address
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Address Line | 320 WASHINGTON ST. SUITE 401
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City | BROOKLINE
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State | MA
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Zip | 02445
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Country | US
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Telephone | 617-360-1929
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Fax | 413-332-0719
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 1707
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License Number State | MA
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