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NPI 1003250648

NPI 1003250648 : DR.LI CHIROPRACTIC CARE PLLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1003250648
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR.LI CHIROPRACTIC CARE PLLC 
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Dates
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    Enumeration Date     |    04/25/2013
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    Last Update Date     |    04/25/2013
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Provider Practice Location Address
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    Address Line         |    9180 BELLAIRE BLVD STE D 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77036-4600
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    Country              |    US
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    Telephone            |    832-818-2630
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    Fax                  |    713-534-1136
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Provider Business Mailing Address
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    Address Line         |    9180 BELLAIRE BLVD STE D 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77036-4600
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    Country              |    US
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    Telephone            |    832-818-2630
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    Fax                  |    713-534-1136
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Authorized Official
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    Title or Position    |    CHIROPRACTOR
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    Name                 |    DR. NANCY NAN LI 
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    Credential           |    D.C.
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    Telephone            |    832-818-2630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    12104
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    License Number State |    TX
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