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General NPI Number Information
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NPI Number | 1477755387
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Entity Type | Individual
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Provider Name | XIAOLING FANG O.M.D
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Gender | Female
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Dates
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Enumeration Date | 06/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 295 NORTHERN BLVD SUITE 103
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City | GREAT NECK
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State | NY
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Zip | 11021-4701
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Country | US
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Telephone | 516-390-9159
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Fax |
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Provider Business Mailing Address
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Address Line | 35 MARTIN PL
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City | SYOSSET
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State | NY
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Zip | 11791-6712
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Country | US
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Telephone | 516-390-9159
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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 | 002698
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License Number State | NY
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