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General NPI Number Information
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NPI Number | 1013260959
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Entity Type | Individual
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Provider Name | DAWN M. HOLMES MS, RD, CSSD, LD
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Gender | Female
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 3705 OLENTANGY RIVER RD SUITE 260
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City | COLUMBUS
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State | OH
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Zip | 43214-3467
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Country | US
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Telephone | 614-566-2786
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Fax | 614-533-6609
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Provider Business Mailing Address
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Address Line | 906 PLEASANT RIDGE AVE
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City | BEXLEY
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State | OH
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Zip | 43209-2430
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Country | US
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Telephone | 614-441-6872
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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 | 6159
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License Number State | OH
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