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Individual
DR. JIE LIU
Active
Individual
DR. JIE LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A147758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036166709
STATE LICENSE
IL
01
—
25MA11856500
STATE LICENSE
NJ
01
—
323476-01
STATE LICENSE
NY
01
—
3415-320
STATE LICENSE
WI
01
—
47156
STATE LICENSE
AL
01
—
71292
STATE LICENSE
AZ
01
—
CDR.03117
STATE LICENSE
CO
01
—
EMC0003850
STATE LICENSE
MI
01
—
MD61368889
STATE LICENSE
WA
01
—
ME164158
STATE LICENSE
FL
01
—
U6396
STATE LICENSE
TX
Enumeration date
06/18/2015
Last updated
06/25/2024
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