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General NPI Number Information
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NPI Number | 1861926883
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Entity Type | Individual
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Provider Name | SANDY CHEN LIU MD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 345 SMITH AVE N
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City | SAINT PAUL
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State | MN
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Zip | 55102-2346
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Country | US
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Telephone | 651-220-6624
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Fax | 651-220-6064
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Provider Business Mailing Address
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Address Line | 2450 RIVERSIDE AVE 1ST FLOOR EAST BUILDING, 8950A
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City | MINNEAPOLIS
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State | MN
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Zip | 55454-1450
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Country | US
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Telephone | 612-624-4477
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 68072
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License Number State | MN
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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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Taxonomy #3
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 68072
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License Number State | MN
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