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General NPI Number Information
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NPI Number | 1528487105
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Entity Type | Individual
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Provider Name | ALICE LI MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 43 NEW SCOTLAND AVE
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City | ALBANY
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State | NY
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Zip | 12208-3412
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Country | US
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Telephone | 518-262-3125
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Fax |
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Provider Business Mailing Address
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Address Line | 1719 W BIG BEAVER RD
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City | TROY
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State | MI
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Zip | 48084-3510
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Country | US
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Telephone | 248-458-0400
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 310708
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License Number State | NY
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