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General NPI Number Information
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NPI Number | 1093364598
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Entity Type | Individual
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Provider Name | XIN ZHANG LAC
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Gender | Female
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 229 W OGDEN AVE
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City | NAPERVILLE
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State | IL
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Zip | 60563-3047
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Country | US
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Telephone | 630-506-8369
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Fax | 888-528-3869
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Provider Business Mailing Address
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Address Line | 656 HARVEST DR
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City | BOLINGBROOK
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State | IL
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Zip | 60490-3142
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Country | US
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Telephone | 630-506-8963
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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 | 198001487
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License Number State | IL
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