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General NPI Number Information
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NPI Number | 1902300643
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Entity Type | Individual
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Provider Name | SAMUEL LI MD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1715 N GEORGE MASON DR STE 504
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City | ARLINGTON
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State | VA
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Zip | 22205-3670
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Country | US
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Telephone | 703-525-2200
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Fax | 703-522-2603
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Provider Business Mailing Address
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Address Line | 1715 N GEORGE MASON DR STE 504
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City | ARLINGTON
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State | VA
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Zip | 22205-3670
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Country | US
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Telephone | 703-525-2200
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Fax | 703-522-2603
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 322624
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 0101282676
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License Number State | VA
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