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NPI 1942320924

NPI 1942320924 : RENFENG LIU DO : POMPTON PLAINS, NJ

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General NPI Number Information
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    NPI Number           |    1942320924
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    Entity Type          |    Individual 
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    Provider Name        |    RENFENG LIU DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/31/2007
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    Last Update Date     |    03/30/2023
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Provider Practice Location Address
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    Address Line         |    97 W PARKWAY 
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    City                 |    POMPTON PLAINS
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    State                |    NJ
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    Zip                  |    07444-1647
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    Country              |    US
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    Telephone            |    973-831-5140
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    Fax                  |    973-831-5318
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Provider Business Mailing Address
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    Address Line         |    PO BOX 416457 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02241-6457
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    Country              |    US
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    Telephone            |    844-362-1735
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    Fax                  |    973-290-7495
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    0002468
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    25MB08094200
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    License Number State |    NJ
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