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General NPI Number Information
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NPI Number | 1538513866
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Entity Type | Individual
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Provider Name | MR. YI XIONG
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Gender | Male
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Dates
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Enumeration Date | 04/23/2016
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 3901 W 15TH ST
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City | PLANO
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State | TX
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Zip | 75075-7738
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Country | US
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Telephone | 405-317-3476
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Fax |
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Provider Business Mailing Address
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Address Line | 1813 TRUSCOTT LN
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City | ALLEN
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State | TX
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Zip | 75013-5425
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Country | US
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Telephone | 405-317-3476
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34.013562
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | S0409
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License Number State | TX
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