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General NPI Number Information
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NPI Number | 1568428217
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Entity Type | Individual
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Provider Name | XIUSHENG QIN M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 8244 E US HIGHWAY 36 STE 1340
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City | AVON
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State | IN
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Zip | 46123-9688
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Country | US
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Telephone | 317-520-5510
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 SOUTHFIELD DR STE 1370
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City | PLAINFIELD
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State | IN
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Zip | 46168-4300
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Country | US
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Telephone | 317-837-5566
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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 | 35.090372
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35.090372
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 35.090372
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License Number State | OH
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