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General NPI Number Information
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NPI Number | 1407174352
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Entity Type | Individual
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Provider Name | SUMIN LI PH.D., B.PHARM
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Gender | Male
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Dates
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Enumeration Date | 05/16/2010
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Last Update Date | 05/16/2010
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Provider Practice Location Address
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Address Line | 3023 78TH AVE SE
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City | MERCER ISLAND
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State | WA
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Zip | 98040-2822
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Country | US
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Telephone | 206-236-0776
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Fax |
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Provider Business Mailing Address
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Address Line | 9062 E SHOREWOOD DR APT 159
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City | MERCER ISLAND
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State | WA
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Zip | 98040-3294
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Country | US
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Telephone | 201-887-5002
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60092404
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License Number State | WA
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