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NPI 1871475483

NPI 1871475483 : ZI RUI LI OD : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1871475483
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    Entity Type          |    Individual 
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    Provider Name        |    ZI RUI LI OD
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    Gender               |     
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Dates
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    Enumeration Date     |    07/23/2025
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    Last Update Date     |    07/23/2025
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Provider Practice Location Address
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    Address Line         |    139 CENTRE ST STE 610 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10013-4556
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    Country              |    US
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    Telephone            |    212-966-5880
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    212 W 72ND ST # 5A 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10023-2805
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    011221
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    License Number State |    NY
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