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General NPI Number Information
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NPI Number | 1871559104
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Entity Type | Individual
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Provider Name | KRISTIN R DWYER RD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 1325 N HIGHLAND AVE
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City | AURORA
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State | IL
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Zip | 60506-1449
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Country | US
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Telephone | 630-801-5899
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 SHOREWOOD CT
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-3786
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Country | US
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Telephone | 630-682-8556
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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 |
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License Number State | IL
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