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General NPI Number Information
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NPI Number | 1306115530
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Entity Type | Individual
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Provider Name | JIA F LI PHARM.D,MBA
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Gender | Male
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Dates
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Enumeration Date | 12/16/2011
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 2900 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60657-5640
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Country | US
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Telephone | 773-665-3145
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Fax |
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Provider Business Mailing Address
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Address Line | 958 SPRUCE ST
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City | WINNETKA
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State | IL
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Zip | 60093-2217
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Country | US
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Telephone | 847-507-1711
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 051285873
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License Number State | IL
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