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General NPI Number Information
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NPI Number | 1215343017
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Entity Type | Individual
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Provider Name | ANDREA J LIU O.D., F.A.A.O
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Gender | Female
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 3772 HOWE ST
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City | OAKLAND
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State | CA
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Zip | 94611-5311
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Country | US
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Telephone | 510-752-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 11672 N VIA VENITZIA AVE
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City | FRESNO
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State | CA
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Zip | 93730-7035
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Country | US
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Telephone | 408-309-5171
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6295
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 15335
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License Number State | CA
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