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General NPI Number Information
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NPI Number | 1598066581
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Entity Type | Organization
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Legal Business Name | ICHIMI DOUSHIN RESOURCES, INC.
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Dates
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Enumeration Date | 11/08/2010
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 18605 GALE AVE STE 240
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-1361
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Country | US
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Telephone | 626-581-1282
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Fax | 888-491-5175
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Provider Business Mailing Address
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Address Line | 18605 GALE AVE STE 240
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-1361
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Country | US
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Telephone | 626-581-1282
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Fax | 888-491-5175
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. XAVIER JAJIN HSIEH
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Credential | D.O.
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Telephone | 626-581-1282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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