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General NPI Number Information
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NPI Number | 1225253487
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Entity Type | Individual
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Provider Name | XIAOMING JIN PHD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 07/04/2024
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Provider Practice Location Address
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Address Line | 3901 W 86TH ST STE 355
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-5734
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Country | US
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Telephone | 317-660-2858
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 W 86TH ST STE 355
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-5734
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Country | US
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Telephone | 317-660-2858
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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 | 10028
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 84000133A
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License Number State | IN
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