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General NPI Number Information
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NPI Number | 1336131036
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Entity Type | Individual
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Provider Name | TIE QIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2237 N COMMERCE PKWY STE 2
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City | WESTON
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State | FL
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Zip | 33326-3250
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Country | US
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Telephone | 954-888-6650
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Fax | 954-888-6645
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Provider Business Mailing Address
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Address Line | 2237 N COMMERCE PKWY STE 2
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City | WESTON
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State | FL
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Zip | 33326-3250
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Country | US
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Telephone | 954-888-6650
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Fax | 954-888-6645
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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 | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number | ME83875
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License Number State | FL
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