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General NPI Number Information
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NPI Number | 1437279593
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Entity Type | Individual
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Provider Name | ZHICHAO XIE LAC
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3223 DEL MAR AVE # 101
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City | ROSEMEAD
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State | CA
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Zip | 91770-2327
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Country | US
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Telephone | 626-280-9608
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Fax |
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Provider Business Mailing Address
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Address Line | 472 W DUARTE RD UNIT B
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City | ARCADIA
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State | CA
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Zip | 91007-9160
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Country | US
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Telephone | 626-446-6395
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC 5985
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License Number State | CA
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