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General NPI Number Information
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NPI Number | 1538694336
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Entity Type | Individual
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Provider Name | WILLIAM LIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/29/2017
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 2800 E BROAD ST # 316
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City | MANSFIELD
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State | TX
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Zip | 76063-6409
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Country | US
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Telephone | 817-313-6313
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 E BROAD ST # 316
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City | MANSFIELD
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State | TX
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Zip | 76063-6409
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Country | US
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Telephone | 817-313-6313
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Fax | 833-637-1623
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | T9169
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | T9169
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License Number State | TX
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