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General NPI Number Information
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NPI Number | 1629326772
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Entity Type | Individual
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Provider Name | JOSEPH SCHIERA MS, RD, CDN
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Gender | Male
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 711 WILLIS AVE APT 3D
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City | WILLISTON PARK
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State | NY
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Zip | 11596-1166
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Country | US
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Telephone | 845-857-6733
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 1ST AVE FOOD AND NUTRITION SERVICES
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City | NEW YORK
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State | NY
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Zip | 10029-7404
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Country | US
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Telephone | 845-857-6733
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 006818
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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 | 01008410
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License Number State | NY
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