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General NPI Number Information
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NPI Number | 1427942598
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Entity Type | Individual
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Provider Name | XAI THAO
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Gender | Male
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 631 H ST
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City | SACRAMENTO
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State | CA
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Zip | 95814-2302
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Country | US
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Telephone | 916-737-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 6941 RICHMAN WAY
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City | SACRAMENTO
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State | CA
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Zip | 95828-2204
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Country | US
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Telephone | 916-717-3135
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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