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General NPI Number Information
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NPI Number | 1770547630
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Entity Type | Individual
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Provider Name | MICHAEL YANG LI MD PHD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 136-20 38 AVE SUITE 6F
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City | FLUSHING
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State | NY
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Zip | 11354-4263
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Country | US
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Telephone | 718-888-9700
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Fax | 718-888-9796
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Provider Business Mailing Address
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Address Line | 13620 38TH AVE SUITE 6F
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City | FLUSHING
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State | NY
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Zip | 11354-4233
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Country | US
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Telephone | 718-888-9700
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Fax | 718-888-9796
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 214851-1
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License Number State | NY
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