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General NPI Number Information
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NPI Number | 1013129113
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Entity Type | Individual
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Provider Name | WEIMIN XU M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 131 W A ST SUITE 1
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City | DIXON
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State | CA
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Zip | 95620-3437
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Country | US
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Telephone | 707-635-1600
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Fax | 707-635-1641
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Provider Business Mailing Address
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Address Line | PO BOX 846
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City | DIXON
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State | CA
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Zip | 95620-0846
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Country | US
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Telephone | 707-625-1600
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Fax | 707-635-1641
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A98678
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License Number State | CA
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