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General NPI Number Information
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NPI Number | 1568415263
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Entity Type | Individual
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Provider Name | JESSE Z LI MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 100 HOSPITAL LN SUITE 225
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City | DANVILLE
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State | IN
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Zip | 46122-1989
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Country | US
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Telephone | 317-718-4730
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Fax | 317-718-4733
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Provider Business Mailing Address
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Address Line | 1100 SOUTHFIELD DR STE 1370
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City | PLAINFIELD
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State | IN
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Zip | 46168-4300
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Country | US
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Telephone | 317-837-5571
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Fax | 317-837-5580
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 01052541
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 01052541A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 04-48760
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License Number State | KS
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