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General NPI Number Information
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NPI Number | 1902348212
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Entity Type | Individual
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Provider Name | YANIRA HOLGUIN RDN
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Gender | Female
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 44-126 PUUOHALAI PL
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City | KANEOHE
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State | HI
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Zip | 96744-2545
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Country | US
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Telephone | 571-342-8915
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Fax |
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Provider Business Mailing Address
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Address Line | UNIT 45002 GDS #30
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City | APO
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State | AP
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Zip | 96301
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Country | US
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Telephone | 571-342-8915
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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 | 164.007043
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License Number State | IL
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