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General NPI Number Information
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NPI Number | 1144208596
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Entity Type | Organization
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Legal Business Name | JAMES C LIANG MD SC
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 4429 W 95TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-2625
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Country | US
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Telephone | 708-422-2665
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Fax | 708-422-2997
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Provider Business Mailing Address
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Address Line | 4429 W 95TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-2625
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Country | US
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Telephone | 708-422-2665
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Fax | 708-422-2997
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES C LIANG
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Credential | M.D.
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Telephone | 708-422-2665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036051267
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License Number State | IL
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