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General NPI Number Information
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NPI Number | 1104646066
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Entity Type | Organization
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Legal Business Name | MORPHO PLASTIC SURGERY, INC.
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 722 E WALNUT ST
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City | PASADENA
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State | CA
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Zip | 91101-1614
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Country | US
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Telephone | 310-933-9944
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Fax | 310-382-2422
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Provider Business Mailing Address
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Address Line | PO BOX 10868
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City | BEVERLY HILLS
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State | CA
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Zip | 90213-3868
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Country | US
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Telephone | 310-933-9944
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PERRY LIU
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Credential | MD
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Telephone | 310-919-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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