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General NPI Number Information
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NPI Number | 1104388123
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Entity Type | Individual
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Provider Name | SIRUI LIU MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 2356 SUTTER ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3006
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Country | US
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Telephone | 415-885-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 4860 Y ST STE 1600
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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 | 916-734-3630
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Fax | 916-734-5636
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A177653
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License Number State | CA
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