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General NPI Number Information
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NPI Number | 1689441776
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Entity Type | Individual
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Provider Name | XI CAO
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Gender | Male
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Dates
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Enumeration Date | 12/07/2023
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 9300 CAMPUS POINT DR # MC7723
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City | LA JOLLA
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State | CA
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Zip | 92037-1300
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Country | US
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Telephone | 858-657-6772
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Fax | 858-657-5495
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Provider Business Mailing Address
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Address Line | 9300 CAMPUS POINT DR # MC7723
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City | LA JOLLA
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State | CA
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Zip | 92037-1300
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Country | US
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Telephone | 858-657-6772
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Fax | 858-657-5495
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | PTL13242
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License Number State | CA
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