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General NPI Number Information
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NPI Number | 1508004201
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Entity Type | Individual
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Provider Name | XIANCHUN HUANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 7925 WINCHESTER BLVD
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-2128
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Country | US
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Telephone | 718-264-4454
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Fax | 718-264-5052
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Provider Business Mailing Address
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Address Line | 374 ELM DR
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City | ROSLYN
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State | NY
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Zip | 11576-3013
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Country | US
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Telephone | 718-264-4454
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Fax | 718-264-5052
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 268680
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License Number State | NY
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