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General NPI Number Information
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NPI Number | 1861293383
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Entity Type | Organization
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Legal Business Name | MIYU INC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 1700 EL CAMINO REAL
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City | MENLO PARK
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State | CA
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Zip | 94027-4127
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Country | US
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Telephone | 440-384-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 124 CATHEDRAL AVE
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-2229
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. PRANAV IYER
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Credential |
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Telephone | 440-384-2688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number |
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License Number State |
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