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General NPI Number Information
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NPI Number | 1447405204
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Entity Type | Organization
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Legal Business Name | MINGHSUN LIU, M.D., PH.D., P.C.
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Dates
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Enumeration Date | 11/20/2008
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Last Update Date | 07/28/2012
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Provider Practice Location Address
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Address Line | 11103 VENICE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90034-6914
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Country | US
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Telephone | 310-734-8526
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Fax | 310-734-8470
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Provider Business Mailing Address
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Address Line | 11103 VENICE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90034-6914
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Country | US
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Telephone | 310-734-8526
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Fax | 310-734-8470
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Authorized Official
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Title or Position | OWNER
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Name | DR. MINGHSUN LIU
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Credential | M.D., PH.D.
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Telephone | 650-224-7359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A85950
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License Number State | CA
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