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General NPI Number Information
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NPI Number | 1770368870
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Entity Type | Individual
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Provider Name | LIAN LIU PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 1801 ROCKLAND RD STE 201
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City | WILMINGTON
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State | DE
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Zip | 19803-3648
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Country | US
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Telephone | 302-651-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 133 SHREWSBURY DR
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City | WILMINGTON
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State | DE
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Zip | 19810-1408
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Country | US
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Telephone | 302-229-4653
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | B1-0011423
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License Number State | DE
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