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General NPI Number Information
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NPI Number | 1134446172
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Entity Type | Individual
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Provider Name | YAN LIU M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 6811 AUSTIN CENTER BLVD STE 410
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City | AUSTIN
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State | TX
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Zip | 78731-3157
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Country | US
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Telephone | 512-324-2705
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Fax | 512-324-2706
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Provider Business Mailing Address
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Address Line | 6811 AUSTIN CENTER BLVD STE 410
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City | AUSTIN
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State | TX
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Zip | 78731-3157
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Country | US
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Telephone | 512-324-2705
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Fax | 512-324-2706
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101264271
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP1-0036665
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 0101264271
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License Number State | VA
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