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General NPI Number Information
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NPI Number | 1619178027
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Entity Type | Individual
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Provider Name | DAVID BENJAMIN LIANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 21600 HIGHWAY 99 STE 260
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City | EDMONDS
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State | WA
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Zip | 98026-8049
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Country | US
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Telephone | 425-774-2650
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Fax | 425-774-2643
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Provider Business Mailing Address
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Address Line | 10921 115TH CT NE APT C201
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City | KIRKLAND
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State | WA
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Zip | 98033-3823
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Country | US
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Telephone | 202-271-4503
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 14761
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD60197486
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License Number State | WA
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