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General NPI Number Information
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NPI Number | 1578348835
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Entity Type | Individual
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Provider Name | YIBO LI MD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 4860 Y ST STE 3800
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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Country | US
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Telephone | 167-343-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 800 N CLINTON ST APT 315
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City | SYRACUSE
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State | NY
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Zip | 13204-1357
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A196782
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License Number State | CA
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