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General NPI Number Information
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NPI Number | 1174468128
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Entity Type | Organization
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Legal Business Name | LIZ MODERN ASIAN RESTAURANT LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 15323 N SCOTTSDALE RD STE 145
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2674
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Country | US
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Telephone | 602-315-2356
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Fax |
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Provider Business Mailing Address
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Address Line | 15323 N SCOTTSDALE RD STE 145
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2674
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Country | US
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Telephone | 602-315-2356
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JANET TSE
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Credential |
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Telephone | 602-315-2356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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