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General NPI Number Information
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NPI Number | 1417042524
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Entity Type | Organization
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Legal Business Name | LIU & WANG MEDICAL CORP
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1118 S GARFIELD AVE #201
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City | ALHAMBRA
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State | CA
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Zip | 91801-4713
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Country | US
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Telephone | 626-281-0090
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Fax | 626-281-0261
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Provider Business Mailing Address
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Address Line | 1118 S GARFIELD AVE #201
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City | ALHAMBRA
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State | CA
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Zip | 91801-4713
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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 | MD MANAGER
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Name | MARY WANG
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Credential |
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Telephone | 626-964-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A61726
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A61785
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License Number State | CA
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