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General NPI Number Information
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NPI Number | 1912960931
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Entity Type | Individual
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Provider Name | WILLIAM W. LI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2655 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60647-1643
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Country | US
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Telephone | 773-486-1264
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Fax | 773-486-9758
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Provider Business Mailing Address
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Address Line | 1801 RIDGEWOOD LN W
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City | GLENVIEW
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State | IL
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Zip | 60025-2205
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Country | US
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Telephone | 847-284-0410
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Fax | 847-724-7009
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12010520A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | IL
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