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General NPI Number Information
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NPI Number | 1851475677
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Entity Type | Individual
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Provider Name | RICHARD LI-CHENG XU M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 3907 PRINCE ST SUITE 3C
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City | FLUSHING
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State | NY
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Zip | 11354-5399
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Country | US
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Telephone | 718-888-7903
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Fax |
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Provider Business Mailing Address
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Address Line | 20 DONALDSON PL
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2010
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Country | US
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Telephone |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 207230
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License Number State | NY
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