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General NPI Number Information
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NPI Number | 1457295313
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Entity Type | Organization
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Legal Business Name | LI FAMILY HEALTH NP PLLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 212 LINDA AVE UNIT 511
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City | AQUEBOGUE
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State | NY
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Zip | 11931-4021
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Country | US
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Telephone | 631-778-8851
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Fax | 631-778-8861
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Provider Business Mailing Address
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Address Line | PO BOX 511
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City | AQUEBOGUE
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State | NY
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Zip | 11931-0511
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Country | US
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Telephone | 631-778-8851
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Fax | 631-778-8861
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JENNIFER PEROS
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Credential | FNP-BC
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Telephone | 631-778-8851
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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 |
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License Number State |
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