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General NPI Number Information
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NPI Number | 1063894244
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Entity Type | Organization
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Legal Business Name | YUHSIN LIAO,DDS,INC
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 2917 W VALLEY BLVD
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City | ALHAMBRA
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State | CA
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Zip | 91803-1820
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Country | US
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Telephone | 626-872-0076
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Fax | 626-872-0075
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Provider Business Mailing Address
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Address Line | 2917 W VALLEY BLVD
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City | ALHAMBRA
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State | CA
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Zip | 91803-1820
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Country | US
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Telephone | 626-872-0076
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Fax | 626-872-0075
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Authorized Official
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Title or Position | PRESIDENT
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Name | YUHSIN C LIAO
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Credential | DDS
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Telephone | 620-872-0076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 39978
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License Number State | CA
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