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General NPI Number Information
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NPI Number | 1225215163
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Entity Type | Organization
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Legal Business Name | YU PING LIU, DDS, A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 8247 WHITTIER BLVD
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City | PICO RIVERA
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State | CA
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Zip | 90660-2527
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Country | US
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Telephone | 562-692-1600
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Fax | 562-692-1614
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Provider Business Mailing Address
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Address Line | 8247 WHITTIER BLVD
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City | PICO RIVERA
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State | CA
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Zip | 90660-2527
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Country | US
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Telephone | 562-692-1600
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Fax | 562-692-1614
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YU PING LIU
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Credential | D.D.S.
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Telephone | 562-692-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 39036
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License Number State | CA
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