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General NPI Number Information
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NPI Number | 1568775328
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Entity Type | Organization
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Legal Business Name | ANGELA W LIAO MD INC
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 301 W HUNTINGTON DR STE 301
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City | ARCADIA
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State | CA
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Zip | 91007-1531
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Country | US
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Telephone | 626-447-4567
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Fax | 626-447-4585
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Provider Business Mailing Address
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Address Line | 301 W HUNTINGTON DR STE 301
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City | ARCADIA
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State | CA
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Zip | 91007-1531
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Country | US
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Telephone | 626-447-4567
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Fax | 626-447-4585
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA W LIAO
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Credential | MD
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Telephone | 626-447-4567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A61124
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License Number State | CA
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