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General NPI Number Information
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NPI Number | 1649403866
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Entity Type | Individual
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Provider Name | DENNIS LIEN-HSUN SU M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 4300 TALBOT RD S SUITE 101
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City | RENTON
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State | WA
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Zip | 98055-6238
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Country | US
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Telephone | 253-735-4341
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Fax | 253-833-2071
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Provider Business Mailing Address
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Address Line | 4300 TALBOT RD S SUITE 101
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City | RENTON
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State | WA
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Zip | 98055-6238
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Country | US
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Telephone | 253-735-4341
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Fax | 253-833-2071
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 60106870
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 89870
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License Number State | OH
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