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General NPI Number Information
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NPI Number | 1730322645
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Entity Type | Organization
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Legal Business Name | AGI MEDICAL PLLC
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 12/29/2013
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Provider Practice Location Address
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Address Line | 717 56TH ST
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City | BROOKLYN
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State | NY
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Zip | 11220-3503
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Country | US
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Telephone | 718-435-3890
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Fax | 718-435-3489
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Provider Business Mailing Address
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Address Line | 232 BAY 7TH ST APT 1
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City | BROOKLYN
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State | NY
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Zip | 11228-3807
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Country | US
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Telephone | 646-701-1278
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Fax | 718-513-3303
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Authorized Official
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Title or Position | M.D.
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Name | PEIYING XIAO
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Credential |
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Telephone | 646-701-1278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 240108
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License Number State | NY
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