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General NPI Number Information
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NPI Number | 1972266138
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Entity Type | Individual
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Provider Name | NAOMI XUAN QIN AMFT
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Gender | Female
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 4030 MOORPARK AVE STE 251
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City | SAN JOSE
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State | CA
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Zip | 95117-1807
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Country | US
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Telephone | 669-250-5483
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Fax |
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Provider Business Mailing Address
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Address Line | 7189 BLUE HILL DR
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City | SAN JOSE
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State | CA
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Zip | 95129-3622
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Country | US
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Telephone | 617-922-0113
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | NULL
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