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General NPI Number Information
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NPI Number | 1871951806
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Entity Type | Individual
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Provider Name | XINYI JIANG DMD
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Gender | Female
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 724 OAK GROVE AVE
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City | MENLO PARK
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State | CA
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Zip | 94025-4361
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Country | US
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Telephone | 650-838-0260
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Fax |
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Provider Business Mailing Address
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Address Line | 1582 WINDING WAY
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City | BELMONT
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State | CA
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Zip | 94002-1953
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Country | US
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Telephone | 765-237-2036
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | LIC101903
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License Number State | CA
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