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1720512338 NPI number — BAOQIONG LIU

NPI Number: 1720512338
Health Care Provider/Practitioner: BAOQIONG LIU

Information about “1720512338” NPI (BAOQIONG LIU) exists in 1720512338 in HTML format HTML  |  1720512338 in plain Text format TXT  |  1720512338 in PDF (Portable Document Format) PDF  |  1720512338 in an XML format XML  formats.

NPI Number : 1720512338 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720512338",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIU",
    "FirstName": "BAOQIONG",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "100 N EDINBURGH DR STE 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTER PARK",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32792-4125",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-845-8366",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 N EDINBURGH DR STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINTER PARK",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32792-4125",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-845-8366",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/20/2017",
    "LastUpdateDate": "06/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "11/27/2017",
    "NPIReactivationDate": "01/10/2018",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "MD-47107",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "25MA11391500",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "ME171085",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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