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General NPI Number Information
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NPI Number | 1912828633
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Entity Type | Individual
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Provider Name | STEPHANIE S LIU
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 21 S 11TH ST STE 303
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4223
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Country | US
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Telephone | 501-295-3728
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 HENRY AVE APT 406
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1156
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | PA
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