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General NPI Number Information
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NPI Number | 1689181174
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Entity Type | Organization
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Legal Business Name | MSD INTERNATIONAL LLC
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 02/19/2018
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Provider Practice Location Address
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Address Line | 1530 BELLEVUE WAY SE STE C
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City | BELLEVUE
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State | WA
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Zip | 98004-7110
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Country | US
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Telephone | 425-628-0260
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 102107
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City | PASADENA
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State | CA
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Zip | 91189-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MIN SHERN LIU
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Credential | DO
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Telephone | 832-867-5999
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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 |
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License Number State |
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