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General NPI Number Information
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NPI Number | 1053753459
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Entity Type | Individual
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Provider Name | XIAO XIAO O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 2750 MIDDLEFIELD RD
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City | PALO ALTO
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State | CA
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Zip | 94306-2517
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Country | US
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Telephone | 650-321-3382
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Fax | 650-321-3383
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Provider Business Mailing Address
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Address Line | 17054 MIMOSA DR
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City | MORGAN HILL
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State | CA
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Zip | 95037-7085
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Country | US
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Telephone | 408-799-8863
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 14715
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License Number State | CA
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