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General NPI Number Information
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NPI Number | 1962994004
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Entity Type | Individual
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Provider Name | YUCHEN LIU MD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 676 N SAINT CLAIR ST STE 850
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City | CHICAGO
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State | IL
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Zip | 60611-3124
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Country | US
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Telephone | 312-695-4538
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Fax | 312-695-6189
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Provider Business Mailing Address
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Address Line | 14430 PEBBLE HILL LN
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City | NORTH POTOMAC
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State | MD
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Zip | 20878-2459
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Country | US
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Telephone | 301-655-1667
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LP04338
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 036170402
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License Number State | IL
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