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General NPI Number Information
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NPI Number | 1184896664
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Entity Type | Individual
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Provider Name | ROSALYN JUO-LIEN LIU P.T.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/26/2009
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Provider Practice Location Address
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Address Line | 15 LAS TUNAS DR
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City | ARCADIA
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State | CA
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Zip | 91007-8511
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Country | US
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Telephone | 626-447-9700
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Fax | 626-446-5405
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Provider Business Mailing Address
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Address Line | 613 W LEMON AVE
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City | ARCADIA
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State | CA
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Zip | 91007-7949
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Country | US
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Telephone | 626-203-8665
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Fax | 626-254-0235
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT21783
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License Number State | CA
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