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General NPI Number Information
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NPI Number | 1093198053
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Entity Type | Individual
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Provider Name | DESTINY NOEL HOWARD MS, RDN, LD, CNSC
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Gender | Female
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 12051 QUAIL RIDGE CIR
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City | EDMOND
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State | OK
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Zip | 73034-2195
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Country | US
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Telephone | 405-593-8512
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Fax | 405-509-5541
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Provider Business Mailing Address
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Address Line | 3126 S BOULEVARD STE 127
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City | EDMOND
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State | OK
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Zip | 73013-5308
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Country | US
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Telephone |
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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 | 2084
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License Number State | OK
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