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General NPI Number Information
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NPI Number | 1821529306
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Entity Type | Individual
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Provider Name | KEVIN LIU MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2017
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 506 W VALLEY BLVD STE 100
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City | SAN GABRIEL
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State | CA
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Zip | 91776-5716
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Country | US
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Telephone | 626-308-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 506 W VALLEY BLVD STE 100
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City | SAN GABRIEL
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State | CA
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Zip | 91776-5716
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Country | US
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Telephone | 626-400-3814
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | A201631
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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