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General NPI Number Information
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NPI Number | 1295975357
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Entity Type | Organization
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Legal Business Name | JINGLI ASSOCIATES
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 9940 RESEARCH DRIVE SUITE 100
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City | IRVINE
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State | CA
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Zip | 92618-4332
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Country | US
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Telephone | 949-552-8133
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Fax | 949-522-1882
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Provider Business Mailing Address
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Address Line | 9940 RESEARCH DRIVE SUITE 100
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City | IRVINE
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State | CA
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Zip | 92618-4332
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Country | US
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Telephone | 949-552-8133
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Fax | 949-522-1882
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Authorized Official
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Title or Position | OWNER/OFFICER
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Name | JING FANG LI
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Credential | M.D
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Telephone | 949-552-8133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A56284
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License Number State | CA
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