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General NPI Number Information
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NPI Number | 1184080442
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Entity Type | Individual
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Provider Name | WAYNA HEIDI LIU P.A.
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Gender | Female
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Dates
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Enumeration Date | 01/01/2016
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 2950 S ALMA SCHOOL RD STE 1
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City | CHANDLER
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State | AZ
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Zip | 85286-8120
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Country | US
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Telephone | 480-827-5690
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Fax |
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Provider Business Mailing Address
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Address Line | 4225 E MCDOWELL RD #3021
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City | PHOENIX
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State | AZ
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Zip | 85008-7475
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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