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General NPI Number Information
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NPI Number | 1134541949
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Entity Type | Individual
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Provider Name | ZHAOBO LI M.D., PH.D., L.AC.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 1407 YORK RD STE 305
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6054
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Country | US
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Telephone | 443-310-5382
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Fax | 667-206-2956
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Provider Business Mailing Address
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Address Line | 1407 YORK RD STE 305A
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6054
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Country | US
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Telephone | 443-310-5382
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02086
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License Number State | MD
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