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General NPI Number Information
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NPI Number | 1891087508
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Entity Type | Individual
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Provider Name | LIANG GE MD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 4 FURMAN CT
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City | MAHWAH
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State | NJ
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Zip | 07430-2980
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Country | US
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Telephone | 217-369-1507
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Fax |
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Provider Business Mailing Address
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Address Line | 4805 STONEBRIDGE DR
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City | CHAMPAIGN
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State | IL
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Zip | 61822-3597
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | TD141089
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD450999
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA10712500
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License Number State | NJ
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