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General NPI Number Information
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NPI Number | 1689889529
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Entity Type | Individual
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Provider Name | XINJUN TU O.M.D
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 225 DOLSON AVE SUITE 402
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City | MIDDLETOWN
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State | NY
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Zip | 10940-6569
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Country | US
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Telephone | 845-344-1110
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Fax | 845-344-1833
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Provider Business Mailing Address
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Address Line | 37 STONE CREST DR
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City | MONROE
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State | NY
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Zip | 10950-2632
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Country | US
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Telephone | 845-238-3085
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Fax | 845-344-1833
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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 | 000455 DUP
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License Number State | NY
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