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General NPI Number Information
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NPI Number | 1841105905
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Entity Type | Organization
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Legal Business Name | PRISTINEHORMONESANDWEIGHT, LLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 180 W HUFFAKER LN STE 301
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City | RENO
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State | NV
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Zip | 89511-2091
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Country | US
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Telephone | 775-993-6440
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Fax | 888-462-3098
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Provider Business Mailing Address
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Address Line | 180 W HUFFAKER LN STE 301
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City | RENO
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State | NV
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Zip | 89511-2091
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Country | US
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Telephone | 775-993-6440
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Fax | 888-462-3098
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | KRISTINA GONZALEZ
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Credential | DNP, FNP-C
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Telephone | 775-622-2584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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