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General NPI Number Information
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NPI Number | 1396988416
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Entity Type | Individual
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Provider Name | LING LI M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 36123 SCHOOLCRAFT RD
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City | LIVONIA
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State | MI
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Zip | 48150-1216
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Country | US
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Telephone | 734-464-0887
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Fax | 734-402-0254
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Provider Business Mailing Address
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Address Line | 3090 BRISTOL ST
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City | COSTA MESA
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State | CA
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Zip | 92626-3079
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Country | US
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Telephone | 714-619-8777
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Fax | 714-503-8055
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S3548
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301099894
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C189670
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License Number State | CA
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