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General NPI Number Information
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NPI Number | 1407637580
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Entity Type | Individual
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Provider Name | ANLY LI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 6975 PENDLETON PIKE
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-5655
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Country | US
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Telephone | 317-542-7304
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Fax |
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Provider Business Mailing Address
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Address Line | 2669 ARROWWOOD TRL
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City | ANN ARBOR
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State | MI
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Zip | 48105-1213
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Country | US
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Telephone | 734-794-3680
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26030511A
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License Number State | IN
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