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General NPI Number Information
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NPI Number | 1063808657
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Entity Type | Organization
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Legal Business Name | HONGBO LIU MD PA
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 325 E SONTERRA BLVD STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4055
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Country | US
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Telephone | 210-402-1222
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Fax | 210-402-1224
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Provider Business Mailing Address
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Address Line | 325 E SONTERRA BLVD STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4055
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Country | US
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Telephone | 210-402-1222
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Fax | 210-402-1224
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Authorized Official
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Title or Position | PRESIDENT
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Name | HONGBO LIU
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Credential | MD
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Telephone | 210-402-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State | TX
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