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General NPI Number Information
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NPI Number | 1790644326
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Entity Type | Individual
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Provider Name | DONNCHARAZ XIONG
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Gender | Male
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 2168 GA-20 W
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City | MCDONOUGH
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State | GA
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Zip | 30253
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Country | US
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Telephone | 470-944-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 244 FALLING CREEK RD
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City | SPARTANBURG
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State | SC
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Zip | 29301-5217
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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 |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 5137
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | CP051863A
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License Number State | GA
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