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General NPI Number Information
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NPI Number | 1083020606
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Entity Type | Individual
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Provider Name | LI SI ZENG PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 11/23/2014
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Provider Practice Location Address
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Address Line | 520 SUPERIOR AVE SUITE 270
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3637
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Country | US
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Telephone | 949-574-9300
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Fax | 949-548-4544
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Provider Business Mailing Address
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Address Line | 1501 SUPERIOR AVE SUITE 310
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3600
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Country | US
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Telephone | 949-574-9300
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Fax | 949-548-4544
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 51748
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License Number State | CA
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