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General NPI Number Information
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NPI Number | 1700650595
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Entity Type | Individual
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Provider Name | SWITA LI
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 1021 15TH AVE SE
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City | ROCHESTER
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State | MN
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Zip | 55904-5149
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Country | US
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Telephone | 507-513-1998
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Fax |
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Provider Business Mailing Address
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Address Line | 6264 SUMMIT PINE RD NW
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City | ROCHESTER
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State | MN
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Zip | 55901-4867
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 126291
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License Number State | MN
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