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General NPI Number Information
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NPI Number | 1063745750
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Entity Type | Individual
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Provider Name | DORIS LI PHARM D
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Gender | Female
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Dates
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Enumeration Date | 09/12/2009
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 196 CANAL ST
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City | NEW YORK
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State | NY
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Zip | 10013-4562
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Country | US
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Telephone | 212-608-1668
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Fax | 212-608-1008
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Provider Business Mailing Address
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Address Line | 21 SPRING ST APT 2T
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City | NEW YORK
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State | NY
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Zip | 10012-4137
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Country | US
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Telephone | 646-251-3035
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 053848
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License Number State | NY
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