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General NPI Number Information
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NPI Number | 1831380187
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Entity Type | Individual
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Provider Name | KIM M. HOHOL B.S.M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 755 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85006-2506
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Country | US
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Telephone | 602-271-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 11001 N BLACK CANYON HWY
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City | PHOENIX
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State | AZ
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Zip | 85029-4757
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Country | US
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Telephone | 602-942-4462
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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 | 813674
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License Number State | AZ
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