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General NPI Number Information
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NPI Number | 1891768248
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Entity Type | Individual
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Provider Name | SHIYIN FOO MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 220 MASSACHUSETTS AVE 368F
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City | CAMBRIDGE
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State | MA
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Zip | 02139-4229
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Country | US
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Telephone | 617-872-4986
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Fax | 617-871-5203
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Provider Business Mailing Address
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Address Line | 17 NEWELL RD
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City | BROOKLINE
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State | MA
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Zip | 02446-6606
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Country | US
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Telephone | 617-264-4472
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 216105
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 216105
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License Number State | MA
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