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General NPI Number Information
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NPI Number | 1972501591
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Entity Type | Individual
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Provider Name | NATALIE LI O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 10531 4S COMMONS DR STE 168
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City | SAN DIEGO
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State | CA
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Zip | 92127-3517
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Country | US
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Telephone | 858-675-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 10531 4S COMMONS DR STE 168
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City | SAN DIEGO
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State | CA
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Zip | 92127-3517
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Country | US
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Telephone | 858-675-2020
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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 | 11909T
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License Number State | CA
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