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General NPI Number Information
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NPI Number | 1013054428
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Entity Type | Individual
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Provider Name | LI HUANG D.C., DILP., AC.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 128 LEISURE LN
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City | COLUMBIA
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State | SC
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Zip | 29210-4125
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Country | US
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Telephone | 803-750-0040
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Fax | 803-750-9626
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Provider Business Mailing Address
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Address Line | 128 LEISURE LN
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City | COLUMBIA
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State | SC
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Zip | 29210-4125
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Country | US
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Telephone | 803-750-0040
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Fax | 803-750-9626
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH1281
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License Number State | SC
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