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General NPI Number Information
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NPI Number | 1205296431
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Entity Type | Organization
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Legal Business Name | DR. XIE, INC.
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Dates
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Enumeration Date | 03/01/2016
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 1750 EL CAMINO REAL STE 305
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City | BURLINGAME
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State | CA
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Zip | 94010-3228
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Country | US
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Telephone | 650-697-8808
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Fax | 650-697-1723
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Provider Business Mailing Address
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Address Line | 1750 EL CAMINO REAL STE 305
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City | BURLINGAME
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State | CA
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Zip | 94010-3228
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Country | US
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Telephone | 650-697-8808
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Fax | 650-697-1723
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. HAICHEN XIE
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Credential | M.D.
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Telephone | 650-697-8808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A103498
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License Number State | CA
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