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General NPI Number Information
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NPI Number | 1740521467
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Entity Type | Organization
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Legal Business Name | CURTIS K. LI, MD, PC
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 1300 E A ST SUITE 209
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City | CASPER
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State | WY
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Zip | 82601-2260
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Country | US
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Telephone | 307-234-8877
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Fax | 307-266-4285
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Provider Business Mailing Address
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Address Line | 1300 E A ST SUITE 209
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City | CASPER
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State | WY
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Zip | 82601-2260
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Country | US
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Telephone | 307-234-8877
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Fax | 307-266-4285
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. CURTIS K LI
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Credential | M.D.
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Telephone | 307-234-8877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 5572A
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License Number State | WY
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