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General NPI Number Information
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NPI Number | 1841559325
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Entity Type | Individual
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Provider Name | JOSEPH HSIEH LIAO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | ONE GUSTAVE L LEVY PLACE
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 617-710-2954
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Fax |
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Provider Business Mailing Address
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Address Line | 8569 BURTON WAY APT 306
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City | LOS ANGELES
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State | CA
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Zip | 90048-3371
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Country | US
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Telephone | 617-710-2954
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 283685
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License Number State | NY
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