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General NPI Number Information
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NPI Number | 1609279371
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Entity Type | Organization
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Legal Business Name | XU'S ACUPUNCTURE
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 10/08/2014
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Provider Practice Location Address
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Address Line | 13362 NEWPORT AVE STE F
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City | TUSTIN
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State | CA
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Zip | 92780-3427
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Country | US
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Telephone | 657-231-6180
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Fax |
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Provider Business Mailing Address
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Address Line | 13362 NEWPORT AVE STE F
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City | TUSTIN
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State | CA
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Zip | 92780-3427
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EMPLOYER
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Name | DELI XU
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Credential |
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Telephone | 657-231-6180
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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 | AC15875
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License Number State | CA
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