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General NPI Number Information
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NPI Number | 1063060408
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Entity Type | Individual
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Provider Name | MATTHEW ZHI LI NP - BC
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Gender | Male
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 8142 FIRESTONE BLVD
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City | DOWNEY
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State | CA
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Zip | 90241-4231
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Country | US
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Telephone | 562-869-8621
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Fax |
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Provider Business Mailing Address
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Address Line | 18980 BARROSO ST
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-3732
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Country | US
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Telephone | 626-354-8401
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95012089
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License Number State | CA
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