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General NPI Number Information
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NPI Number | 1073446258
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Entity Type | Individual
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Provider Name | JI WON LIU
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 4502 RIVERSTONE BLVD STE 702
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City | MISSOURI CITY
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State | TX
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Zip | 77459-5210
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Country | US
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Telephone | 346-391-0926
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Fax |
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Provider Business Mailing Address
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Address Line | 4523 ALAMO AVE
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City | SUGAR LAND
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State | TX
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Zip | 77479-2024
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Country | US
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Telephone | 956-369-8532
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 102505
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License Number State | TX
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