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General NPI Number Information
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NPI Number | 1780111260
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Entity Type | Organization
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Legal Business Name | GXJ MEDICAL HEALTHCARE PC
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Dates
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Enumeration Date | 05/16/2017
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Last Update Date | 11/24/2019
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Provider Practice Location Address
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Address Line | 13668 ROOSEVELT AVE UNIT 5D
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City | FLUSHING
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State | NY
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Zip | 11354-5510
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Country | US
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Telephone | 718-749-4570
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Fax |
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Provider Business Mailing Address
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Address Line | 43 ARLEIGH RD
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City | GREAT NECK
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State | NY
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Zip | 11021-1326
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. XIAOJUN GUO
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Credential | MD
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Telephone | 718-285-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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