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General NPI Number Information
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NPI Number | 1598670416
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Entity Type | Individual
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Provider Name | KYRA ELIZABETH CONTRIS MFN, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 581A CORTLAND AVE
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-9100
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Country | US
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Telephone | 419-601-5599
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Fax |
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Provider Business Mailing Address
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Address Line | 5855 SWAN RD
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City | PEMBERVILLE
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State | OH
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Zip | 43450-9482
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Country | US
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Telephone | 419-601-5599
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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 | 86293730
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License Number State | SC
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