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General NPI Number Information
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NPI Number | 1205553443
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Entity Type | Individual
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Provider Name | MICHELLE GIANG MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH) UNIT #15245 BLDG 3031
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City | APO
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State | AP
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Zip | 96271
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Country | US
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Telephone | 315-737-2019
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 BRADSTONE TRCE NW
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City | LILBURN
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State | GA
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Zip | 30047-8018
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Country | US
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Telephone | 404-271-8195
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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 | LD004607
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License Number State | GA
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