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General NPI Number Information
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NPI Number | 1457595332
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Entity Type | Individual
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Provider Name | XIAOCHUAN GUO M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 300 SEASIDE AVE
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City | MILFORD
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State | CT
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Zip | 06460-4603
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Country | US
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Telephone | 203-876-4000
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Fax | 866-465-4714
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Provider Business Mailing Address
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Address Line | PO BOX 417297
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City | BOSTON
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State | MA
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Zip | 02241-7297
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Country | US
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Telephone | 866-623-3869
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Fax | 302-733-0854
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 053218
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License Number State | CT
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