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General NPI Number Information
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NPI Number | 1063646859
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Entity Type | Individual
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Provider Name | YUN ZHEN XU
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Gender | Female
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 219 QUINCY AVE UNIT 84
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City | QUINCY
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State | MA
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Zip | 02169-6761
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Country | US
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Telephone | 617-376-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 219 QUINCY AVE UNIT 84
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City | QUINCY
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State | MA
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Zip | 02169-6761
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Country | US
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Telephone | 617-376-9595
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 429
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 172P00000X
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Taxonomy Name | Naprapath
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License Number | 6510
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License Number State | MA
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