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General NPI Number Information
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NPI Number | 1982929378
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Entity Type | Individual
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Provider Name | JUDY LIU M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 1801 BUSH ST STE 131D
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5273
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Country | US
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Telephone | 415-942-2499
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Fax | 415-657-8533
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE BOX MED
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 585-275-2222
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Fax | 585-756-5111
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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 | A127472
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License Number State | CA
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