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General NPI Number Information
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NPI Number | 1881051324
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Entity Type | Individual
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Provider Name | LIAN XUE L.AC.
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Gender | Female
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 4220 SHASTA WAY
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City | KLAMATH FALLS
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State | OR
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Zip | 97603-4842
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Country | US
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Telephone | 541-884-1952
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Fax | 541-884-6085
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Provider Business Mailing Address
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Address Line | 4220 SHASTA WAY
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City | KLAMATH FALLS
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State | OR
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Zip | 97603-4842
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Country | US
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Telephone | 541-884-1952
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Fax | 541-884-6085
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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 | AP 3179
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License Number State | FL
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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 | AC187595
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License Number State | OR
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