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General NPI Number Information
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NPI Number | 1346375540
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Entity Type | Individual
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Provider Name | LAI-YUAN LIU M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 12/05/2021
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Provider Practice Location Address
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Address Line | 1321 N.W. 14 ST #602
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City | MIAMI
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State | FL
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Zip | 33125
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Country | US
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Telephone | 305-545-5353
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Fax | 545-238-4058
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Provider Business Mailing Address
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Address Line | 1321 NW 14TH ST SUITE 602
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City | MIAMI
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State | FL
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Zip | 33125-1673
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Country | US
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Telephone | 305-545-5353
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Fax | 305-545-5220
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME395971
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License Number State | FL
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