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General NPI Number Information
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NPI Number | 1659687044
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Entity Type | Individual
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Provider Name | MING LI D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 21613 STEVENS CREEK BLVD
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City | CUPERTINO
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State | CA
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Zip | 95014-1167
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Country | US
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Telephone | 408-255-5018
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Fax |
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Provider Business Mailing Address
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Address Line | 21613 STEVENS CREEK BLVD.
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City | CUPERTINO
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State | CA
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Zip | 95014
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Country | US
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Telephone | 408-255-5018
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 16080
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 31741
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License Number State | CA
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