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General NPI Number Information
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NPI Number | 1023062429
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Entity Type | Organization
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Legal Business Name | LIU AND ASSOCIATES FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 09/02/2008
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Provider Practice Location Address
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Address Line | 1251 S CEDAR CREST BLVD SUITE 102A
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City | ALLENTOWN
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State | PA
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Zip | 18103-6205
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Country | US
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Telephone | 610-776-0377
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 VALLEY CENTER PKWY SUITE 100
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City | BETHLEHEM
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State | PA
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Zip | 18017-2344
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Country | US
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Telephone | 484-884-4436
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Fax | 484-884-4444
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Authorized Official
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Title or Position | PRESIDENT
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Name | HENRY LIU
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Credential | MD
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Telephone | 640-776-0377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | PA
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