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General NPI Number Information
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NPI Number | 1427243559
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Entity Type | Individual
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Provider Name | LI IRIS LI M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 333 E BETHANY DR STE C100
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City | ALLEN
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State | TX
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Zip | 75002-3829
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Country | US
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Telephone | 972-268-7068
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Fax | 972-474-4071
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Provider Business Mailing Address
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Address Line | 333 E BETHANY DR STE C100
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City | ALLEN
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State | TX
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Zip | 75002-3829
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Country | US
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Telephone | 972-268-7068
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Fax | 972-474-4071
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0069290
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP1-0027266
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | N9464
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License Number State | TX
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