=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871662205
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MEI XIA OMD, LAC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/07/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10814 HICKORY RIDGE RD
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21044-3622
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-299-9666
-----------------------------------------------------
Fax | 410-465-5289
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4571 ROLLING MDWS
-----------------------------------------------------
City | ELLICOTT CITY
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21043-6557
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-299-9666
-----------------------------------------------------
Fax | 410-465-5289
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | U01459
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------