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NPI 1669517546

NPI 1669517546 : AMANDA JEAN MCFARLAND RDN, CDCES : KAILUA, HI

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General NPI Number Information
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    NPI Number           |    1669517546
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA JEAN MCFARLAND RDN, CDCES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/20/2007
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    Last Update Date     |    01/26/2024
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Provider Practice Location Address
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    Address Line         |    328 ULUNIU ST STE 103 
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    City                 |    KAILUA
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    State                |    HI
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    Zip                  |    96734-2542
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    Country              |    US
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    Telephone            |    808-451-0555
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2817 DOUGLAS ST 
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    City                 |    ALEXANDRIA
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    State                |    VA
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    Zip                  |    22306-3107
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    Country              |    US
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    Telephone            |    808-228-2626
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    121-LD
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    License Number State |    HI
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Taxonomy #3
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    DN002183
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    License Number State |    PA
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