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General NPI Number Information
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NPI Number | 1659221562
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Entity Type | Organization
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Legal Business Name | KRIS-TAL CORP
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 14 SCOTCHTOWN AVE
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City | GOSHEN
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State | NY
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Zip | 10924-1631
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Country | US
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Telephone | 888-822-7428
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 VALLEY RD STE 4
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City | WAYNE
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State | NJ
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Zip | 07470-2074
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, RCM
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Name | MARLIYNN RECINE
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Credential |
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Telephone | 888-822-7428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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