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General NPI Number Information
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NPI Number | 1316331788
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Entity Type | Individual
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Provider Name | SHARON XIAOYUE LI MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 7300 WYNDHAM DR
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City | SACRAMENTO
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State | CA
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Zip | 95823-4913
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Country | US
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Telephone | 916-525-6350
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Fax |
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Provider Business Mailing Address
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Address Line | 2 SHAMROCK DR
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City | BURLINGTON
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State | MA
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Zip | 01803-3010
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Country | US
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Telephone | 617-818-5000
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 168912
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License Number State | CA
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