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General NPI Number Information
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NPI Number | 1609930726
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Entity Type | Organization
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Legal Business Name | LIHAI MEDICAL CLINIC INC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 313 E 900 S SUITE 102
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City | SALT LAKE CITY
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State | UT
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Zip | 84111-4315
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Country | US
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Telephone | 801-532-2265
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Fax | 801-532-2351
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Provider Business Mailing Address
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Address Line | 313 E 900 S SUITE 102
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City | SALT LAKE CITY
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State | UT
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Zip | 84111-4315
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Country | US
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Telephone | 801-532-2265
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Fax | 801-532-2351
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Authorized Official
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Title or Position | PRESIDENT
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Name | KINGI MOSAIA LANGI SR.
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Credential | PAC MT
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Telephone | 801-687-0511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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