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General NPI Number Information
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NPI Number | 1568948404
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Entity Type | Individual
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Provider Name | XUCHAO LI L.AC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 3201 UNIVERSITY DR E STE 370
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City | BRYAN
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State | TX
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Zip | 77802-7745
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Country | US
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Telephone | 832-985-2008
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Fax |
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Provider Business Mailing Address
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Address Line | 6111 BREEZY HOLLOW LN
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City | KATY
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State | TX
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Zip | 77450-5499
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Country | US
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Telephone | 832-985-2008
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC01851
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License Number State | TX
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