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General NPI Number Information
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NPI Number | 1467313833
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Entity Type | Individual
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Provider Name | KIRK ALLAN DIAL
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Gender |
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 36101 BOB HOPE DR STE A1
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2002
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Country | US
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Telephone | 760-880-5375
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Fax |
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Provider Business Mailing Address
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Address Line | 36101 BOB HOPE DR STE A
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2001
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Country | US
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Telephone | 760-321-1315
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Fax | 760-321-1094
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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 | 86154050
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License Number State | CA
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