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General NPI Number Information
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NPI Number | 1124205059
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Entity Type | Individual
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Provider Name | KARIN C LI MD
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Gender | Female
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 13768 ROSWELL AVE STE 215
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City | CHINO
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State | CA
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Zip | 91710-1407
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Country | US
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Telephone | 909-325-2215
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Fax | 888-491-0615
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Provider Business Mailing Address
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Address Line | PO BOX 2240
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City | WALNUT
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State | CA
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Zip | 91788-2240
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Country | US
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Telephone | 951-220-9796
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Fax | 888-491-0615
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A96828
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License Number State | CA
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