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General NPI Number Information
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NPI Number | 1174742092
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Entity Type | Individual
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Provider Name | DONG MEI LI L.AC.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11740 SAN PABLO AVE STE A
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City | EL CERRITO
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State | CA
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Zip | 94530-1786
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Country | US
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Telephone | 510-237-1680
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Fax | 510-237-1619
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Provider Business Mailing Address
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Address Line | 160 RIDGEVIEW TER
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City | HERCULES
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State | CA
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Zip | 94547-1983
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Country | US
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Telephone | 510-741-8807
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC5809
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License Number State | CA
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