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General NPI Number Information
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NPI Number | 1619574068
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Entity Type | Individual
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Provider Name | XIANGLING SHI
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Gender | Female
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 31221 AMERICANA PKWY
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City | SELBYVILLE
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State | DE
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Zip | 19975-3785
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Country | US
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Telephone | 302-436-2827
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Fax |
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Provider Business Mailing Address
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Address Line | 12824 CLARKSBURG SQUARE RD UNIT 206
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City | CLARKSBURG
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State | MD
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Zip | 20871-4331
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Country | US
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Telephone | 908-500-9742
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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 | A1-0015560
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License Number State | DE
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