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NPI 1306635594

NPI 1306635594 : HANNAH JARVIS MS, RD, LD : EUGENE, OR

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General NPI Number Information
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    NPI Number           |    1306635594
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    Entity Type          |    Individual 
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    Provider Name        |    HANNAH JARVIS MS, RD, LD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/05/2025
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    Last Update Date     |    05/05/2025
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Provider Practice Location Address
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    Address Line         |    296 E 5TH AVE STE 324 
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    City                 |    EUGENE
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    State                |    OR
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    Zip                  |    97401-2771
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    Country              |    US
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    Telephone            |    541-600-4464
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    Fax                  |    440-556-5642
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Provider Business Mailing Address
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    Address Line         |    1830 ELKHORN DR 
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    City                 |    EUGENE
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    State                |    OR
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    Zip                  |    97408-7170
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    Country              |    US
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    Telephone            |    541-513-3134
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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       |    LD-D-10221502
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    License Number State |    OR
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