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General NPI Number Information
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NPI Number | 1477624005
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Entity Type | Individual
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Provider Name | LEI XU DMD
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/20/2017
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Provider Practice Location Address
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Address Line | 4512 NEW FALLS RD
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City | LEVITTOWN
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State | PA
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Zip | 19056-3011
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Country | US
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Telephone | 215-943-8820
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Fax | 215-943-8840
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Provider Business Mailing Address
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Address Line | 4512 NEW FALLS RD
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City | LEVITTOWN
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State | PA
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Zip | 19056-3011
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Country | US
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Telephone | 215-943-8820
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Fax | 888-225-4310
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS036281
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License Number State | PA
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