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General NPI Number Information
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NPI Number | 1982569430
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Entity Type | Individual
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Provider Name | JIAXIN LAI RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 151 EVERETT AVE APT 3309
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City | CHELSEA
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State | MA
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Zip | 02150-1807
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Country | US
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Telephone | 617-887-3584
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Fax | 929-270-7005
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Provider Business Mailing Address
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Address Line | 151 EVERETT AVE
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City | CHELSEA
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State | MA
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Zip | 02150-1807
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Country | US
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Telephone | 617-887-3584
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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 | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | LDN8589
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License Number State | MA
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