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General NPI Number Information
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NPI Number | 1871748319
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Entity Type | Individual
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Provider Name | XIAOXIAN LI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 600 MOYE BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-4300
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Country | US
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Telephone | 252-744-2803
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Fax | 252-744-3616
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Provider Business Mailing Address
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Address Line | PO BOX 751069
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City | CHARLOTTE
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State | NC
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Zip | 28275-1069
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 2025-03236
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10030177
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 70167
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License Number State | GA
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