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General NPI Number Information
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NPI Number | 1891430195
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Entity Type | Individual
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Provider Name | XIAOFANG LIU
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Gender | Female
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 14330 38TH AVE APT 1D
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City | FLUSHING
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State | NY
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Zip | 11354-5720
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Country | US
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Telephone | 888-370-2170
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Fax | 888-370-2170
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Provider Business Mailing Address
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Address Line | 155 W 68TH ST APT 218
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City | NEW YORK
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State | NY
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Zip | 10023-5824
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Country | US
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Telephone | 917-650-6537
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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