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General NPI Number Information
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NPI Number | 1083679344
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Entity Type | Individual
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Provider Name | XUEYU XU P.T., MPT
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 1700 MT VERNON AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93306
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Country | US
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Telephone | 661-412-3868
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 MOUNT VERNON AVE PHYSICAL THERAPY DEPT.
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City | BAKERSFIELD
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State | CA
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Zip | 93306-4018
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Country | US
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Telephone | 661-412-3868
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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