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General NPI Number Information
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NPI Number | 1568848133
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Entity Type | Organization
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Legal Business Name | RUMIN XU L.AC, PH.D. INC.
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Dates
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Enumeration Date | 08/06/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 260 S. LOS ROBLES AVE #108
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City | PASADENA
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State | CA
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Zip | 91101-3623
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Country | US
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Telephone | 626-585-8385
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Fax |
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Provider Business Mailing Address
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Address Line | 260 S. LOS ROBLES AVE #108
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City | PASADENA
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State | CA
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Zip | 91101-3623
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Country | US
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Telephone | 626-585-8385
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RUMIN XU
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Credential | L.AC, PH.D.
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Telephone | 626-585-8385
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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 | AC 4219
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License Number State | CA
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