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General NPI Number Information
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NPI Number | 1417843293
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Entity Type | Individual
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Provider Name | KAREN JIAQI LI NP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1 SHAWS CV
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City | NEW LONDON
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State | CT
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Zip | 06320-4902
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Country | US
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Telephone | 860-447-8304
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Fax | 860-443-8720
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Provider Business Mailing Address
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Address Line | 9 KING JAMES DR
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City | EAST LYME
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State | CT
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Zip | 06333-1017
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Country | US
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Telephone | 917-361-1178
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14709
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License Number State | CT
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