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General NPI Number Information
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NPI Number | 1861823411
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Entity Type | Organization
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Legal Business Name | JENNY LIAW, M.D. PLLC
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 42-23 212 STREET SUITE 1A
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City | BAYSIDE
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State | NY
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Zip | 11361
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Country | US
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Telephone | 718-224-6528
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Fax | 718-224-8964
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Provider Business Mailing Address
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Address Line | 42-23 212 STREET SUITE 1A
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City | BAYSIDE
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State | NY
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Zip | 11361
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Country | US
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Telephone | 718-224-6528
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Fax | 718-224-8964
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Authorized Official
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Title or Position | OWNER
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Name | JENNY LIAW
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Credential | M.D.
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Telephone | 718-224-6528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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