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General NPI Number Information
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NPI Number | 1720134539
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Entity Type | Individual
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Provider Name | TAO XIE ACUPUNCTUREST
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 299 NEWPORT AVE SUITE 6-7
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City | QUINCY
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State | MA
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Zip | 02170-1741
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Country | US
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Telephone | 617-479-9001
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Fax | 617-479-9001
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Provider Business Mailing Address
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Address Line | 126 DIMMOCK ST
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City | QUINCY
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State | MA
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Zip | 02169-1944
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Country | US
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Telephone | 617-328-1211
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Fax | 617-328-1211
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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 | 202439
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License Number State | MA
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