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NPI 1306532213

NPI 1306532213 : SAU YU CHEN RDN, LDN : NORTHBROOK, IL

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General NPI Number Information
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    NPI Number           |    1306532213
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    Entity Type          |    Individual 
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    Provider Name        |    SAU YU CHEN RDN, LDN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/13/2023
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    Last Update Date     |    04/13/2023
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Provider Practice Location Address
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    Address Line         |    40 SKOKIE BLVD STE 510 
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    City                 |    NORTHBROOK
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    State                |    IL
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    Zip                  |    60062-1601
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    Country              |    US
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    Telephone            |    866-729-1012
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9350 SKOKIE BLVD UNIT 502 
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    City                 |    SKOKIE
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    State                |    IL
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    Zip                  |    60077-5600
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    Country              |    US
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    Telephone            |    206-771-9478
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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       |    86154697
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    License Number State |    
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