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General NPI Number Information
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NPI Number | 1447693866
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Entity Type | Individual
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Provider Name | JET JIANQING LIU M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 20207 CHASEWOOD PARK DR STE 204
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City | HOUSTON
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State | TX
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Zip | 77070-1442
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Country | US
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Telephone | 713-986-6016
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 CAMBRIDGE ST FL 10
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City | HOUSTON
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State | TX
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Zip | 77030-4202
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Country | US
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Telephone | 713-986-6016
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 35.133815
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | A162485.
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | V1824
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License Number State | TX
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