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General NPI Number Information
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NPI Number | 1699024323
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Entity Type | Individual
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Provider Name | HUIKAI TIAN M.D., PH.D
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Gender | Male
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Dates
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Enumeration Date | 09/10/2012
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Last Update Date | 12/12/2019
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Provider Practice Location Address
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Address Line | 926 ARCH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1852
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Country | US
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Telephone | 267-908-4297
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Fax |
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Provider Business Mailing Address
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Address Line | 503 MORRIS LN
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City | WALLINGFORD
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State | PA
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Zip | 19086-6932
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Country | US
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Telephone | 215-459-7701
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD455256
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MD455256
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD445256
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License Number State | PA
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