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General NPI Number Information
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NPI Number | 1851725725
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Entity Type | Individual
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Provider Name | VICTOR LI PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 4 ELIZABETH ST
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City | NEW YORK
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State | NY
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Zip | 10013-4802
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Country | US
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Telephone | 212-766-3773
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Fax |
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Provider Business Mailing Address
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Address Line | 1963 62ND ST
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City | BROOKLYN
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State | NY
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Zip | 11204-3028
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Country | US
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Telephone | 347-579-9070
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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 | 058537
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License Number State | NY
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