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General NPI Number Information
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NPI Number | 1952566242
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Entity Type | Organization
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Legal Business Name | JENQ-SHENGLIU M.D. INC.
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 414 CENTRAL AVE
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City | SOUTH WILLIAMSON
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State | KY
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Zip | 41503-4121
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Country | US
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Telephone | 606-237-1214
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Fax | 606-237-5819
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Provider Business Mailing Address
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Address Line | 414 CENTRAL AVE
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City | SOUTH WILLIAMSON
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State | KY
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Zip | 41503-4121
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Country | US
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Telephone | 606-237-1214
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Fax | 606-237-5819
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Authorized Official
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Title or Position | DOCTOR
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Name | JENQ-SHENG LIU
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Credential | M.D.
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Telephone | 606-237-1214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 19248
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License Number State | KY
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