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General NPI Number Information
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NPI Number | 1003114729
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Entity Type | Organization
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Legal Business Name | WALK-IN CLINIC & DIAGNOSTIC LLC
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 9449 N 90TH ST SUITE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5099
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Country | US
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Telephone | 480-614-8888
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Fax | 480-451-8886
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Provider Business Mailing Address
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Address Line | 9449 N 90TH ST SUITE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5099
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Country | US
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Telephone | 480-614-8888
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Fax | 480-451-8886
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Authorized Official
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Title or Position | OWNER
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Name | DR. JING LIU
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Credential | PHD
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Telephone | 480-614-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 2710
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License Number State | AZ
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