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General NPI Number Information
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NPI Number | 1801840939
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Entity Type | Individual
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Provider Name | JUNYI LI MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 906 JUDSON RD
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City | LONGVIEW
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State | TX
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Zip | 75601-5113
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Country | US
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Telephone | 903-655-1313
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Fax | 903-655-6067
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Provider Business Mailing Address
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Address Line | P.O. BOX 2527
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City | LONGVIEW
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State | TX
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Zip | 75606-2527
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Country | US
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Telephone | 903-655-1313
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Fax | 903-655-6067
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD417510
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | L3730
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License Number State | TX
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