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General NPI Number Information
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NPI Number | 1972377448
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Entity Type | Organization
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Legal Business Name | MEGAN LI OD LLC
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 572 HANK AARON DR SE STE 1130
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City | ATLANTA
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State | GA
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Zip | 30312-2896
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Country | US
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Telephone | 404-538-8215
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Fax |
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Provider Business Mailing Address
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Address Line | 185 MONTAG CIR NE UNIT 262
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City | ATLANTA
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State | GA
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Zip | 30307-5533
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Country | US
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Telephone | 404-538-8215
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MEGAN LI
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Credential | OD
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Telephone | 404-538-8215
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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 |
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License Number State |
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