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Individual
NATASHA NICOLE SUGIMOTO
Active
Individual
NATASHA NICOLE SUGIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86146983
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118633
DIETITIAN LICENSE
IA
01
—
1330
DIETITIAN LICENSE
NH
01
—
197850
DIETITIAN LICENSE
AK
01
—
281046
DIETITIAN LICENSE
KY
01
—
37003530A
DIETITIAN LICENSE
IN
01
—
86146983
CDR
—
01
—
DI200001357
DIETITIAN LICENSE
DC
01
—
DN007838
DIETITIAN LICENSE
PA
01
—
DX5655
DIETITIAN LICENSE
MD
01
—
ND9998
DIETITIAN LICENSE
FL
Enumeration date
01/31/2023
Last updated
01/31/2023
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