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General NPI Number Information
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NPI Number | 1235544453
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Entity Type | Individual
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Provider Name | BRANDON LIANG PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/26/2014
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 7351 E OSBORN RD # 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6451
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Country | US
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Telephone | 480-882-7465
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Fax |
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Provider Business Mailing Address
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Address Line | 7351 E OSBORN RD # 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6451
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Country | US
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Telephone | 480-882-7465
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA031030
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0005411
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0110-004630
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 7027
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License Number State | AZ
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