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General NPI Number Information
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NPI Number | 1821309147
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Entity Type | Individual
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Provider Name | LI ZHAI M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 1406 140TH PL NE STE 100
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City | BELLEVUE
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State | WA
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Zip | 98007-3941
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Country | US
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Telephone | 425-880-7879
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Fax |
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Provider Business Mailing Address
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Address Line | 303 23RD AVE S
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City | SEATTLE
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State | WA
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Zip | 98144-2377
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD00049093
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License Number State | WA
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