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General NPI Number Information
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NPI Number | 1851295380
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Entity Type | Organization
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Legal Business Name | RUI TANIMURA LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 1955 30TH ST APT 134
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City | BOULDER
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State | CO
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Zip | 80301-3004
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Country | US
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Telephone | 508-404-4918
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Fax |
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Provider Business Mailing Address
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Address Line | 1955 30TH ST APT 134
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City | BOULDER
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State | CO
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Zip | 80301-3004
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Country | US
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Telephone | 508-404-4918
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Fax |
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Authorized Official
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Title or Position | OWNER/REGISTERED DIETITIAN
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Name | RUI TANIMURA
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Credential | RDN
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Telephone | 508-404-4918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | NULL
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