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General NPI Number Information
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NPI Number | 1790863884
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Entity Type | Individual
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Provider Name | SAMUEL KWONG-MING LIU MD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 5565 W LAS POSITAS BLVD STE 260
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City | PLEASANTON
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State | CA
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Zip | 94588-5807
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Country | US
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Telephone | 925-416-5470
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Fax | 925-734-0517
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Provider Business Mailing Address
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Address Line | 5565 W LAS POSITAS BLVD STE 260
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City | PLEASANTON
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State | CA
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Zip | 94588-5807
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Country | US
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Telephone | 925-416-5470
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | G64755
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | G64755
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G64755
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License Number State | CA
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