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General NPI Number Information
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NPI Number | 1013546365
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Entity Type | Individual
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Provider Name | TIFFANIE LIU
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Gender | Female
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 1200 E BROAD ST FL 9
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City | RICHMOND
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State | VA
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Zip | 23298-5025
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Country | US
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Telephone | 804-828-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 6301 STEVENSON AVE APT 1116
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City | ALEXANDRIA
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State | VA
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Zip | 22304-3519
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 50083007
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0103301405
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License Number State | VA
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