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General NPI Number Information
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NPI Number | 1932096138
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Entity Type | Individual
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Provider Name | MAKENNA KREGEL
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 160 E ERIE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-1011
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Country | US
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Telephone | 215-427-4067
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Fax | 215-427-4067
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Provider Business Mailing Address
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Address Line | PO BOX 13579
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City | READING
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State | PA
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Zip | 19612-3579
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Country | US
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Telephone | 484-628-4706
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Fax | 484-628-4706
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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 |
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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 | DN008498
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License Number State | PA
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