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General NPI Number Information
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NPI Number | 1972486637
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Entity Type | Individual
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Provider Name | JIAMIN XU DDS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 16850 SAN FERNANDO MISSION BLVD
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City | GRANADA HILLS
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State | CA
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Zip | 91344-4247
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Country | US
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Telephone | 818-488-6068
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Fax |
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Provider Business Mailing Address
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Address Line | 21010 ERWIN ST APT 418
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-3989
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS112050
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License Number State | CA
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