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General NPI Number Information
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NPI Number | 1285842047
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Entity Type | Organization
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Legal Business Name | SOPHIA ASLANIS RD, CDN, LLC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 250 W 57TH ST STE 1513
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City | NEW YORK
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State | NY
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Zip | 10107-1509
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Country | US
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Telephone | 212-245-0575
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Fax | 212-245-6131
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Provider Business Mailing Address
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Address Line | 250 W 57TH ST STE 1513
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City | NEW YORK
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State | NY
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Zip | 10107-1509
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Country | US
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Telephone | 212-245-0575
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Fax | 212-245-6131
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. SOPHIA ASLANIS
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Credential | RD,CDN
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Telephone | 212-245-0575
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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 | 005526-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 005526-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | 005526-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 005526-1
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License Number State | NY
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