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General NPI Number Information
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NPI Number | 1962105098
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Entity Type | Individual
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Provider Name | ALEXANDER Y LI DMD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 513 PARNASSUS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2205
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Country | US
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Telephone | 415-476-1173
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Fax |
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Provider Business Mailing Address
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Address Line | 2107 MULLINGAR ST
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City | CARY
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State | NC
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Zip | 27518-7716
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Country | US
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Telephone | 919-448-8989
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 112498
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 112498
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License Number State | CA
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