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General NPI Number Information
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NPI Number | 1669919932
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Entity Type | Individual
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Provider Name | CHRISTINA MINGES MS, RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 3724 JEFFERSON ST STE 104
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City | AUSTIN
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State | TX
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Zip | 78731-6204
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Country | US
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Telephone | 512-693-7045
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Fax |
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Provider Business Mailing Address
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Address Line | 2322 STATE LINE RD
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City | OKEANA
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State | OH
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Zip | 45053-9505
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Country | US
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Telephone | 419-769-0619
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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 | 37002209A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 290560
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT90070
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License Number State | TX
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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 | LD.6971
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License Number State | OH
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