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General NPI Number Information
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NPI Number | 1710074356
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Entity Type | Individual
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Provider Name | XI GUO M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 7305 GRAND RIVER RD STE 550
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City | BRIGHTON
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State | MI
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Zip | 48114-7376
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Country | US
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Telephone | 810-534-5599
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Fax | 810-534-5999
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Provider Business Mailing Address
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Address Line | 7305 GRAND RIVER RD STE 550
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City | BRIGHTON
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State | MI
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Zip | 48114-7376
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Country | US
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Telephone | 810-534-5599
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Fax | 810-534-5999
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301073971
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License Number State | MI
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