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General NPI Number Information
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NPI Number | 1447052915
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Entity Type | Individual
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Provider Name | ELECIA FAAIUASO RDN, LD, MPH
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Gender | Female
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1894 WALTON AVE
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City | BRONX
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State | NY
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Zip | 10453-6018
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Country | US
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Telephone | 718-583-3060
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Fax |
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Provider Business Mailing Address
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Address Line | 94-1146 KALOLI LOOP
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City | WAIPAHU
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State | HI
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Zip | 96797-5412
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Country | US
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Telephone | 808-799-8159
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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 | 86314096
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License Number State |
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