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General NPI Number Information
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NPI Number | 1518342146
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Entity Type | Individual
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Provider Name | PEI LI LOW R.D.H
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Gender | Female
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 30 5TH AVE SUITE 1G
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City | NEW YORK
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State | NY
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Zip | 10011-8804
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Country | US
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Telephone | 212-673-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 4245 KISSENA BLVD APT 4G
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City | FLUSHING
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State | NY
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Zip | 11355-3247
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Country | US
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Telephone | 646-886-0306
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 028203
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License Number State | NY
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