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General NPI Number Information
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NPI Number | 1740365063
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Entity Type | Individual
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Provider Name | ZHICHENG LI MD
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Gender | Male
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 530 NEW WAVERLY PL STE 105
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City | CARY
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State | NC
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Zip | 27518-7414
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Country | US
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Telephone | 919-897-8895
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Fax | 919-561-4863
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Provider Business Mailing Address
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Address Line | 530 NEW WAVERLY PL STE 105
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City | CARY
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State | NC
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Zip | 27518-7414
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Country | US
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Telephone | 919-897-8895
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Fax | 949-561-4863
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 2010-01547
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2010-01547
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License Number State | NC
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