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General NPI Number Information
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NPI Number | 1861970113
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Entity Type | Individual
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Provider Name | XUANYI LI DDS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 4401 E 10TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46201-2744
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Country | US
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Telephone | 317-672-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E FALL CREEK PARKWAY SOUTH DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-4226
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12013013A
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License Number State | IN
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