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General NPI Number Information
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NPI Number | 1053536136
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Entity Type | Individual
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Provider Name | XIAO HAN D.M.D
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 175 MANSFIELD AVE SUITE 9
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City | NORTON
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State | MA
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Zip | 02766-1333
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Country | US
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Telephone | 508-285-4440
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Fax | 508-285-4484
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Provider Business Mailing Address
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Address Line | 47 ELDRED ST L
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City | LEXINGTON
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State | MA
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Zip | 02420-1420
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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 |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 20958
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License Number State | MA
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