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General NPI Number Information
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NPI Number | 1659566545
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Entity Type | Individual
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Provider Name | CONNIE X. LIU M.D.,
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Gender | Female
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 1979 W HILLSBORO BLVD SUITE 1
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1444
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Country | US
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Telephone | 954-428-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 3867 TURTLE RUN BLVD
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4227
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Country | US
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Telephone | 732-766-6976
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME118974
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License Number State | FL
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