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General NPI Number Information
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NPI Number | 1326538455
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Entity Type | Individual
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Provider Name | PAULINA PADAO XIONG
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Gender | Female
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 610 E NEES AVE
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City | FRESNO
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State | CA
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Zip | 93720-2198
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Country | US
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Telephone | 559-431-1379
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Fax |
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Provider Business Mailing Address
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Address Line | 7078 W SAN JOSE AVE
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City | FRESNO
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State | CA
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Zip | 93723-4062
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 74569
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License Number State | CA
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