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General NPI Number Information
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NPI Number | 1548045750
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Entity Type | Individual
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Provider Name | BRYANT LI
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Gender | Male
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 3240 ARDEN WAY
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City | SACRAMENTO
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State | CA
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Zip | 95825-2015
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Country | US
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Telephone | 916-614-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 2305 JEFFERSON BLVD UNIT 2208
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-5773
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Country | US
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Telephone | 925-895-1512
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH-0020239
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH90784
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | INT49182
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH61567519
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License Number State | WA
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