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General NPI Number Information
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NPI Number | 1811332232
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Entity Type | Individual
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Provider Name | JINGHUA XU
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Gender | Female
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 1754 TECHNOLOGY DR STE 128
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City | SAN JOSE
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State | CA
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Zip | 95110-1320
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Country | US
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Telephone | 510-557-2380
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Fax |
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Provider Business Mailing Address
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Address Line | 43090 SCOFIELD CT
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City | FREMONT
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State | CA
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Zip | 94539-5250
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Country | US
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Telephone | 510-557-2380
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 15173
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License Number State | CA
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