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General NPI Number Information
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NPI Number | 1891330452
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Entity Type | Organization
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Legal Business Name | ERIC LI MD AND ASSOCIATES INC
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 10430 S DE ANZA BLVD STE 170
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City | CUPERTINO
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State | CA
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Zip | 95014-3000
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Country | US
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Telephone | 408-883-7943
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 AUZERAIS AVE
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City | SAN JOSE
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State | CA
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Zip | 95126-3478
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Country | US
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Telephone | 408-680-1793
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Fax |
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Authorized Official
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Title or Position | PLASTIC SURGEON
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Name | DR. ERIC YU KIT LI
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Credential | MD
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Telephone | 408-680-1793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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