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General NPI Number Information
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NPI Number | 1548286453
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Entity Type | Individual
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Provider Name | RICHARD MING-CHENG LIU MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 05/11/2020
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Provider Practice Location Address
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Address Line | 5565 GROSSMONT CENTER DR BLDG 3, SUITE 101
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City | LA MESA
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State | CA
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Zip | 91942
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Country | US
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Telephone | 619-464-3353
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Fax | 619-464-6720
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Provider Business Mailing Address
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Address Line | 3907 WARING RD STE 1
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City | OCEANSIDE
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State | CA
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Zip | 92056-4454
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Country | US
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Telephone | 760-724-8749
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Fax | 760-724-2604
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 272111
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME0081018
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | C134084
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License Number State | CA
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