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General NPI Number Information
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NPI Number | 1053198002
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Entity Type | Individual
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Provider Name | AARON TAYLOR LIU DDS
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Gender | Male
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 18710 AMAR RD STE D
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City | WALNUT
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State | CA
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Zip | 91789-4571
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Country | US
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Telephone | 626-833-0645
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Fax |
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Provider Business Mailing Address
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Address Line | 2955 VENEZIA TERRACE
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City | CHINO HILLS
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State | CA
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Zip | 91709-6641
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Country | US
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Telephone | 626-833-0645
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 39950
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 109401
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License Number State | CA
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