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General NPI Number Information
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NPI Number | 1164040523
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Entity Type | Organization
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Legal Business Name | YANLUN LI MEDICAL PRACTICE P.C.
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 13630 MAPLE AVE STE 2H
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City | FLUSHING
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State | NY
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Zip | 11355-3868
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Country | US
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Telephone | 718-701-0589
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Fax | 718-701-0877
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Provider Business Mailing Address
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Address Line | 15 BROOKBRIDGE RD
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City | GREAT NECK
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State | NY
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Zip | 11021-1040
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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 | PRESIDENT
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Name | DR. YANLUN LI
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Credential | DO
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Telephone | 718-701-0589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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