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General NPI Number Information
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NPI Number | 1932614955
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Entity Type | Individual
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Provider Name | CHANG LIU
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Gender | Female
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 720 8TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98104-3032
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Country | US
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Telephone | 206-788-3650
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT. 781625 PO BOX 78000
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City | DETROIT
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State | MI
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Zip | 48278-1625
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Country | US
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Telephone | 614-355-8004
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Fax | 614-355-2220
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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 | S.1701340
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LW61097019
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License Number State | WA
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