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NPI Code Detail

MEDICARE: BOR BECKY XIONG M.S.

MEDICARE: BOR BECKY XIONG M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1235348129
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOR BECKY XIONG M.S.
Provider Business Mailing Address
First Line : 451 LEXINGTON PKWY N
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-4636
Country : US
Telephone Number : 651-280-2153
Fax Number : 651-280-3798
Provider Business Practice Location Address
First Line : 451 LEXINGTON PKWY N
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-4636
Country : US
Telephone Number : 651-280-2153
Fax Number : 651-280-3798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 12/27/2010

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Directions to “ BOR BECKY XIONG M.S.” Practice Location

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