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General NPI Number Information
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NPI Number | 1588169783
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Entity Type | Organization
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Legal Business Name | XIE UROLOGY LLC.
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 5605 NW 29TH ST
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City | MARGATE
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State | FL
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Zip | 33063-1531
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Country | US
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Telephone | 954-854-9429
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Fax | 954-488-2176
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Provider Business Mailing Address
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Address Line | 5605 NW 29TH ST
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City | MARGATE
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State | FL
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Zip | 33063-1531
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Country | US
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Telephone | 954-854-9429
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Fax | 954-488-2176
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Authorized Official
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Title or Position | UROLOGIST
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Name | DONGHUA XIE
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Credential | MD, PHD
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Telephone | 954-854-9429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME128203
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License Number State | FL
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