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General NPI Number Information
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NPI Number | 1548280092
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Entity Type | Organization
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Legal Business Name | YILI ZHOU LLC
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 6830 NW 11TH PL SUITE A
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City | GAINESVILLE
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State | FL
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Zip | 32605-4254
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Country | US
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Telephone | 352-331-0909
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Fax | 352-331-0970
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Provider Business Mailing Address
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Address Line | 5525 BANANA POINT DR
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City | OKAHUMPKA
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State | FL
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Zip | 34762-3334
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Country | US
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Telephone | 352-331-0909
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Fax | 352-331-0970
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Authorized Official
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Title or Position | PRESIDENT
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Name | YILI ZHOU
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Credential | MD
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Telephone | 352-331-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME86840
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License Number State | FL
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