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General NPI Number Information
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NPI Number | 1710147574
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Entity Type | Organization
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Legal Business Name | DR. LI'S ACUPUNCTURE & NATURAL HERBS
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 7801 ACADEMY RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3379
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Country | US
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Telephone | 505-620-9853
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Fax |
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Provider Business Mailing Address
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Address Line | 9630 MACALLAN RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6476
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Country | US
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Telephone | 505-620-9853
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF ORIENTAL MEDICINE
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Name | LI LI
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Credential |
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Telephone | 505-620-9853
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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 | 741
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License Number State | NM
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