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NPI 1730142571

NPI 1730142571 : GEORGE LIU M.D. : WALNUT CREEK, CA

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General NPI Number Information
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    NPI Number           |    1730142571
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    Entity Type          |    Individual 
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    Provider Name        |    GEORGE LIU M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/11/2006
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    Last Update Date     |    03/27/2022
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Provider Practice Location Address
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    Address Line         |    2175 N CALIFORNIA BLVD STE 425 
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    City                 |    WALNUT CREEK
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    State                |    CA
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    Zip                  |    94596-7164
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    Country              |    US
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    Telephone            |    925-543-0140
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    Fax                  |    925-543-0145
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Provider Business Mailing Address
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    Address Line         |    727 EVELYN CT 
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    City                 |    ALAMO
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    State                |    CA
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    Zip                  |    94507-1795
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    Country              |    US
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    Telephone            |    617-869-1962
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    A102815
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    License Number State |    CA
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