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General NPI Number Information
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NPI Number | 1215002969
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Entity Type | Individual
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Provider Name | KEHAN LI DDS
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 415 N SAN MATEO DR STE 1
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City | SAN MATEO
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State | CA
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Zip | 94401-2494
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Country | US
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Telephone | 650-401-8686
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Fax | 650-350-3209
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Provider Business Mailing Address
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Address Line | 415 N SAN MATEO DR STE 1
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City | SAN MATEO
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State | CA
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Zip | 94401-2494
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Country | US
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Telephone | 650-401-8686
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Fax | 650-350-3209
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 47279
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License Number State | CA
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