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General NPI Number Information
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NPI Number | 1174877690
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Entity Type | Organization
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Legal Business Name | DR MICHAEL LI PLLC
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 2200 6TH AVE SUITE 832
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City | SEATTLE
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State | WA
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Zip | 98121-1896
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Country | US
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Telephone | 206-441-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 6TH AVE SUITE 832
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City | SEATTLE
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State | WA
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Zip | 98121-1896
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Country | US
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Telephone | 206-441-2505
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL P LI
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Credential | D.C.
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Telephone | 206-441-2505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH60133937
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License Number State | WA
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