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General NPI Number Information
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NPI Number | 1225219041
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Entity Type | Individual
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Provider Name | RAN LI
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Gender | Female
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 39207 SUNDALE DR
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City | FREMONT
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State | CA
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Zip | 94538-1916
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Country | US
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Telephone | 510-386-7052
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Fax | 510-651-4201
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Provider Business Mailing Address
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Address Line | 3273 BRIONES TER
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City | FREMONT
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State | CA
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Zip | 94538-3083
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Country | US
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Telephone | 925-699-9194
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Fax | 925-271-6207
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 210143697
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 522612
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License Number State | CA
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