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General NPI Number Information
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NPI Number | 1740818426
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Entity Type | Individual
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Provider Name | PHILIP GEE LI DO
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Gender | Male
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 05/11/2025
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Provider Practice Location Address
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Address Line | 697 THOMAS LN
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City | COLUMBUS
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State | OH
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Zip | 43214-3931
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Country | US
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Telephone | 614-566-5414
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Fax |
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Provider Business Mailing Address
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Address Line | 180 HARVESTER DR STE 110
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City | BURR RIDGE
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State | IL
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Zip | 60527-6686
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Country | US
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Telephone | 773-702-1150
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036.173145
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License Number State | IL
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