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General NPI Number Information
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NPI Number | 1417252834
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Entity Type | Individual
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Provider Name | BI YU MICHELLE LIANG M.S., R.D., C.D.N.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2011
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Last Update Date | 01/15/2011
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Provider Practice Location Address
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Address Line | 1348 66TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-6131
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Country | US
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Telephone | 917-365-9322
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Fax | 347-263-8498
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Provider Business Mailing Address
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Address Line | 1348 66TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-6131
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Country | US
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Telephone | 917-365-9322
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Fax | 347-263-8498
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 007041-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 977970
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License Number State |
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