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General NPI Number Information
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NPI Number | 1376920348
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Entity Type | Individual
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Provider Name | LI LI CHEUNG M.D.,
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Gender | Female
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Dates
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Enumeration Date | 04/29/2015
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 3400 SPRUCE ST 9 FOUNDERS
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4284
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Country | US
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Telephone | 215-662-2884
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 CHESTNUT ST APARTMENT 2111
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City | PHILADELPHIA
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State | PA
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Zip | 19103-4316
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Country | US
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Telephone | 215-834-0502
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Fax |
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MD453958
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License Number State | PA
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