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General NPI Number Information
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NPI Number | 1871811869
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Entity Type | Individual
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Provider Name | ROGER LIU MD
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Gender | Male
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1933 DOCK ST UNIT 608
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City | TACOMA
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State | WA
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Zip | 98402-3276
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Country | US
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Telephone | 720-321-0000
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Fax | 720-321-1621
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Provider Business Mailing Address
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Address Line | PO BOX 223897
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City | PITTSBURGH
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State | PA
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Zip | 15251-2897
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Country | US
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Telephone | 844-947-4260
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Fax | 302-261-5622
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | MD60636115
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD60636115
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License Number State | WA
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