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General NPI Number Information
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NPI Number | 1376200063
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Entity Type | Individual
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Provider Name | KRISTIE W YEUNG MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 321 N KUAKINI ST STE 308
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City | HONOLULU
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State | HI
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Zip | 96817-2360
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Country | US
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Telephone | 808-440-6852
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Fax | 808-440-6878
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Provider Business Mailing Address
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Address Line | 680 IWILEI RD STE 500
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City | HONOLULU
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State | HI
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Zip | 96817-5389
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Country | US
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Telephone | 808-848-8000
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Fax | 808-848-8001
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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 | 284-LD
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License Number State | HI
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