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General NPI Number Information
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NPI Number | 1811627375
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Entity Type | Individual
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Provider Name | DEBORAH ZHUOEN LIU DDS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 515 DELAWARE ST SE
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-0357
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Country | US
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Telephone | 612-625-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 770 SAFER CT
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City | BROOKFIELD
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State | WI
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Zip | 53045-6783
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Country | US
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Telephone | 414-915-2161
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D14720
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License Number State | MN
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