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General NPI Number Information
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NPI Number | 1144513862
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Entity Type | Individual
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Provider Name | MARIA SIU D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 160 E ARTESIA ST STE 330
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City | POMONA
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State | CA
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Zip | 91767-2922
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Country | US
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Telephone | 909-622-5654
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Fax |
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Provider Business Mailing Address
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Address Line | 160 E ARTESIA ST STE 330
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City | POMONA
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State | CA
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Zip | 91767-2922
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Country | US
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Telephone | 909-622-5654
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | P26504
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A13839
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License Number State | CA
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