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General NPI Number Information
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NPI Number | 1780578112
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Entity Type | Individual
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Provider Name | KRISTINA WEISER RD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 65 CROMWELL AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10304-3944
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Country | US
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Telephone | 718-667-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 801 MADISON ST APT 3I
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City | HOBOKEN
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State | NJ
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Zip | 07030-6445
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Country | US
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Telephone | 732-439-9184
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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 | 86299281
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License Number State | NJ
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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 | 012789
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License Number State | NY
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