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General NPI Number Information
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NPI Number | 1568910685
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Entity Type | Individual
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Provider Name | VILAIVAN XIONG BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/18/2016
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 881 EMBARCADERO DR STE 1
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-4092
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Country | US
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Telephone | 916-841-5079
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Fax |
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Provider Business Mailing Address
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Address Line | 5931 WILKINSON ST
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City | SACRAMENTO
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State | CA
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Zip | 95824-3341
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Country | US
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Telephone | 559-862-9124
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 8939
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License Number State | CA
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