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General NPI Number Information
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NPI Number | 1558688754
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Entity Type | Individual
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Provider Name | YI XIE M.D. PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 02/09/2014
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Provider Practice Location Address
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Address Line | 139 CENTRE ST STE 715A
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City | NEW YORK
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State | NY
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Zip | 10013-4557
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Country | US
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Telephone | 901-279-3831
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Fax | 917-398-2126
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Provider Business Mailing Address
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Address Line | 139 CENTRE ST STE 715A
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City | NEW YORK
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State | NY
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Zip | 10013-4557
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Country | US
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Telephone | 901-279-3831
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Fax | 917-398-2126
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 267783
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License Number State | NY
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