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NPI 1407719719

NPI 1407719719 : WEIQI LI RPH : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1407719719
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    Entity Type          |    Individual 
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    Provider Name        |    WEIQI LI RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/04/2025
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    419 W 114TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10025-1710
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    Country              |    US
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    Telephone            |    212-523-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5515 99TH ST APT 6H 
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    City                 |    CORONA
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    State                |    NY
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    Zip                  |    11368-3731
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    Country              |    US
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    Telephone            |    
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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       |    073550
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    License Number State |    NY
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