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General NPI Number Information
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NPI Number | 1730095803
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Entity Type | Individual
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Provider Name | JIAQI LIANG PT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 1712 S COUNTRY CLUB DR STE 101
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City | MESA
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State | AZ
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Zip | 85210-6046
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Country | US
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Telephone | 602-313-4337
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Fax |
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Provider Business Mailing Address
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Address Line | 920 S TERRACE RD # 1052A
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City | TEMPE
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State | AZ
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Zip | 85281-3805
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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 |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-034933
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License Number State | AZ
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