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General NPI Number Information
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NPI Number | 1083486146
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Entity Type | Individual
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Provider Name | XIA THREADGILL
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Gender | Female
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 11/15/2025
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Provider Practice Location Address
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Address Line | 29516 KOHOUTEK WAY
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City | UNION CITY
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State | CA
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Zip | 94587
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Country | US
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Telephone | 510-441-8240
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Fax |
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Provider Business Mailing Address
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Address Line | 2890 TREAT BLVD UNIT 22
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City | CONCORD
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State | CA
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Zip | 94518
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Country | US
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Telephone | 310-259-3110
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 8728
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License Number State | CA
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