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General NPI Number Information
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NPI Number | 1699319996
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Entity Type | Individual
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Provider Name | XIUZHEN LI DC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 08/25/2024
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Provider Practice Location Address
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Address Line | 222 W 26TH ST STE A
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City | CHICAGO
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State | IL
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Zip | 60616-4099
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Country | US
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Telephone | 312-763-6192
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Fax | 312-277-3533
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Provider Business Mailing Address
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Address Line | 222 W 26TH ST STE A
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City | CHICAGO
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State | IL
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Zip | 60616-4099
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Country | US
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Telephone | 312-763-6192
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Fax | 312-277-3533
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038013130
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License Number State | IL
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