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General NPI Number Information
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NPI Number | 1083742977
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Entity Type | Individual
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Provider Name | ZHANG XIE L.AC.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 720 MAGNOLIA AVE. STE. B3
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City | CORONA
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State | CA
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Zip | 92879
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Country | US
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Telephone | 949-350-1666
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Fax | 800-626-0068
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Provider Business Mailing Address
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Address Line | 8835 GENTLE WIND DR.
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City | CORONA
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State | CA
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Zip | 92883
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Country | US
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Telephone | 951-371-8888
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Fax | 800-626-0068
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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 | AC4347
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License Number State | CA
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