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General NPI Number Information
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NPI Number | 1992254171
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Entity Type | Organization
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Legal Business Name | XIN'S ACUPUNCTURE AND WELLNESS
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 15525 POMERADO RD STE E4
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City | POWAY
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State | CA
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Zip | 92064-2427
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Country | US
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Telephone | 619-272-1281
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Fax |
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Provider Business Mailing Address
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Address Line | 17010 CALLE TREVINO UNIT 4
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City | SAN DIEGO
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State | CA
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Zip | 92127-8820
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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 | L.AC
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Name | BAOYU XIN
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Credential |
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Telephone | 619-272-1281
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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 | AC12984
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License Number State | CA
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