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General NPI Number Information
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NPI Number | 1891174991
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Entity Type | Individual
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Provider Name | SHIAN LIU PETERSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0004
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Country | US
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Telephone | 301-295-9954
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Fax | 301-319-7081
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Provider Business Mailing Address
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Address Line | 4494 PALMER RD
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City | NORTH BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 301-295-9954
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Fax | 301-319-7081
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A184167
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License Number State | CA
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