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General NPI Number Information
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NPI Number | 1821434010
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Entity Type | Organization
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Legal Business Name | YX MEDICAL GROUP INC
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 10/08/2014
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Provider Practice Location Address
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Address Line | 4305 TORRANCE BLVD STE 306
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City | TORRANCE
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State | CA
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Zip | 90503-4409
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Country | US
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Telephone | 310-530-5678
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Fax | 310-370-1206
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Provider Business Mailing Address
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Address Line | 4305 TORRANCE BLVD STE 306
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City | TORRANCE
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State | CA
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Zip | 90503-4409
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Country | US
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Telephone | 310-530-5678
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Fax | 310-370-1206
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Authorized Official
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Title or Position | OWNER
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Name | MRS. XIAOMING ANI
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Credential |
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Telephone | 310-530-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G33010
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC8554
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License Number State | CA
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