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General NPI Number Information
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NPI Number | 1437049806
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Entity Type | Individual
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Provider Name | SHING MA LI APRN
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Gender | Male
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 134 STATE ST MERIDEN
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City | MERIDEN
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State | CT
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Zip | 06450
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Country | US
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Telephone | 203-237-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 122 EAGLE ST APT 2
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City | NEW HAVEN
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State | CT
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Zip | 06511-2604
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Country | US
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Telephone | 415-525-6138
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 214228
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 15181
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License Number State | CT
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