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General NPI Number Information
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NPI Number | 1356598080
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Entity Type | Individual
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Provider Name | MENG MENG XU OD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 940 COMMONWEALTH AVE SUITE 2
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City | BOSTON
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State | MA
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Zip | 02215-1203
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Country | US
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Telephone | 617-587-5511
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Fax | 617-587-5511
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-955-5000
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Fax | 410-500-4266
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4769
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA3124
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG002142
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License Number State | PA
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