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General NPI Number Information
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NPI Number | 1235809229
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Entity Type | Individual
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Provider Name | HOLLIS EDWARDS RD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 3080 N CIVIC CENTER PLZ STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6921
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Country | US
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Telephone | 480-378-2251
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Fax |
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Provider Business Mailing Address
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Address Line | 1141 E VALERIE DR
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City | TEMPE
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State | AZ
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Zip | 85288-1640
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Country | US
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Telephone | 480-652-6159
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Fax | 623-505-3474
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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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