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General NPI Number Information
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NPI Number | 1194095240
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Entity Type | Organization
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Legal Business Name | XIAO FENG LI MD PA INC
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 11325 LAKE UNDERHILL RD SUITE 102
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City | ORLANDO
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State | FL
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Zip | 32825-5090
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Country | US
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Telephone | 407-275-0002
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Fax | 407-275-0072
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Provider Business Mailing Address
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Address Line | PO BOX 781708
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City | ORLANDO
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State | FL
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Zip | 32878-1708
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Country | US
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Telephone | 407-275-0002
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Fax | 407-275-0072
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Authorized Official
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Title or Position | OWNER
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Name | XIAO FENG LI
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Credential | M.D.
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Telephone | 407-275-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME70503
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License Number State | FL
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