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General NPI Number Information
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NPI Number | 1114914827
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Entity Type | Individual
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Provider Name | LI MIN I LIU MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 50 N 12TH STREET UPPER LEVEL
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City | LEMOYNE
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State | PA
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Zip | 17043
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Country | US
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Telephone | 717-737-5767
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Fax | 717-737-6268
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Provider Business Mailing Address
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Address Line | 50 N 12TH ST UPPR LEVEL
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City | LEMOYNE
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State | PA
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Zip | 17043-1428
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Country | US
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Telephone | 717-737-5767
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Fax | 717-737-6268
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD070672L
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License Number State | PA
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