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General NPI Number Information
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NPI Number | 1649224403
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Entity Type | Individual
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Provider Name | THOMAS H LI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 2300 HAGGERTY RD STE 2190
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City | W BLOOMFIELD
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State | MI
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Zip | 48323-2192
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Country | US
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Telephone | 489-601-1222
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Fax | 248-246-0506
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Provider Business Mailing Address
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Address Line | 2300 HAGGERTY RD STE 2190
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City | W BLOOMFIELD
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State | MI
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Zip | 48323-2192
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Country | US
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Telephone | 248-960-1122
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Fax | 248-246-0506
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301072948
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License Number State | MI
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