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General NPI Number Information
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NPI Number | 1235179870
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Entity Type | Individual
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Provider Name | XIAOGUANG HUANG M.D., PHD.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 345 9TH ST SUITE 307
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City | OAKLAND
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State | CA
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Zip | 94607-6522
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Country | US
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Telephone | 510-663-9518
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Fax | 510-663-9520
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Provider Business Mailing Address
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Address Line | 345 9TH ST SUITE 307
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City | OAKLAND
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State | CA
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Zip | 94607-6522
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Country | US
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Telephone | 510-663-9518
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Fax | 510-663-9520
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A64820
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License Number State | CA
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