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General NPI Number Information
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NPI Number | 1861096927
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Entity Type | Individual
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Provider Name | DR. KUEI S LIU
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Gender | Male
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 11/29/2020
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Provider Practice Location Address
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Address Line | 644 N ROUTE 59
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City | NAPERVILLE
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State | IL
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Zip | 60563-2042
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Country | US
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Telephone | 630-369-6103
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Fax |
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Provider Business Mailing Address
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Address Line | 4577 NORMANDY DR
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City | LISLE
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State | IL
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Zip | 60532-1083
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Country | US
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Telephone | 630-995-0136
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051291177
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License Number State | IL
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