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General NPI Number Information
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NPI Number | 1649872664
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Entity Type | Individual
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Provider Name | KRISTEN KNUF-CLEMENTS RD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 75 PRINGLE WAY STE 505
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City | RENO
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State | NV
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Zip | 89502-1469
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Country | US
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Telephone | 775-982-5437
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Fax | 775-982-3895
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Provider Business Mailing Address
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Address Line | 1355 DAVIDSON WAY
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City | RENO
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State | NV
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Zip | 89509-3142
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Country | US
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Telephone | 775-250-9518
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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 | 32958-DI-3
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License Number State | NV
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