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General NPI Number Information
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NPI Number | 1285931782
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Entity Type | Individual
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Provider Name | CHUNG KAY LI P.A.; RPT
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Gender | Male
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 12/18/2018
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Provider Practice Location Address
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Address Line | 1004 14TH AVE
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City | DELANO
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State | CA
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Zip | 93215-2246
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Country | US
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Telephone | 661-474-2600
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Fax | 661-474-2600
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Provider Business Mailing Address
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Address Line | PO BOX 1484
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City | BAKERSFIELD
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State | CA
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Zip | 93302-1484
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Country | US
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Telephone | 951-368-8308
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Fax | 661-792-3095
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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 | PA15269
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT8718
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License Number State | CA
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