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General NPI Number Information
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NPI Number | 1477830511
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Entity Type | Individual
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Provider Name | DIANNA LIU M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 9 POINT WEST BLVD
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City | SAINT CHARLES
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State | MO
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Zip | 63301-4431
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Country | US
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Telephone | 636-441-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 9 POINT WEST BLVD
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City | SAINT CHARLES
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State | MO
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Zip | 63301-4431
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Country | US
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Telephone | 636-441-7900
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036.142384
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT205315
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 125065402
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2021015991
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License Number State | MO
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