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NPI Code Detail

MEDICARE: MAO XIONG

MEDICARE: MAO XIONG
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
11041C0700XClinical Social WorkerP018407NC

General Provider Information

NPI Number : 1366124059
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAO XIONG
Provider Business Mailing Address
First Line : 414 AMON LN
Second Line :
City : PINEVILLE
State : NC
Zip : 28134-9488
Country : US
Telephone Number : 980-293-1006
Fax Number :
Provider Business Practice Location Address
First Line : 9719 NORTHEAST PKWY STE 100
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-9713
Country : US
Telephone Number : 980-293-1006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2023
Last Update Date : 08/02/2023

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Directions to “ MAO XIONG ” Practice Location

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