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NPI 1316982002

NPI 1316982002 : XIAOLU HSI PH.D : CAMBRIDGE, MA

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General NPI Number Information
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    NPI Number           |    1316982002
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    Entity Type          |    Individual 
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    Provider Name        |    XIAOLU HSI PH.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/18/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    77 MASS AVE E23-395
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    City                 |    CAMBRIDGE
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    State                |    MA
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    Zip                  |    02139-4301
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    Country              |    US
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    Telephone            |    617-253-2916
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 425789 E23-395
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    City                 |    CAMBRIDGE
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    State                |    MA
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    Zip                  |    02142-0015
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    Country              |    US
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    Telephone            |    617-253-2916
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    7195
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    License Number State |    MA
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