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General NPI Number Information
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NPI Number | 1134858616
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Entity Type | Organization
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Legal Business Name | ENBURIO INC
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 2365 QUIMBY RD STE 250
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City | SAN JOSE
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State | CA
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Zip | 95122-1337
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Country | US
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Telephone | 650-502-4770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1547
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City | SEDALIA
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State | MO
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Zip | 65302-1547
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Country | US
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Telephone | 660-826-5960
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. XINGFU LIANG
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Credential | MD
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Telephone | 802-324-8501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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