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General NPI Number Information
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NPI Number | 1801607270
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Entity Type | Individual
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Provider Name | XIAOHUI XU
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Gender | Female
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 3010 WILLIAMS DR 168
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City | GEORGETOWN
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State | TX
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Zip | 78628
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Country | US
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Telephone | 512-851-7665
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PENTRO PATH
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City | GEORGETOWN
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State | TX
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Zip | 78626-3069
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Country | US
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Telephone | 512-851-7665
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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 | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | MT128335
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License Number State | TX
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