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General NPI Number Information
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NPI Number | 1962761320
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Entity Type | Individual
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Provider Name | JIANMIN XU M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 10/27/2019
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Provider Practice Location Address
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Address Line | 3301 C ST STE 200E
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City | SACRAMENTO
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State | CA
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Zip | 95816-3363
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Country | US
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Telephone | 916-446-0424
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Fax | 916-446-9330
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Provider Business Mailing Address
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Address Line | 3301 C ST STE 200E
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City | SACRAMENTO
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State | CA
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Zip | 95816-3363
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Country | US
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Telephone | 916-446-0424
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Fax | 916-446-9330
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD.35309
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | A149211
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License Number State | CA
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