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General NPI Number Information
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NPI Number | 1265847990
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Entity Type | Individual
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Provider Name | EMILY YUWEN LIU O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 9600 VETERANS DR SW
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City | TACOMA
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State | WA
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Zip | 98493-0003
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Country | US
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Telephone | 408-761-8602
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Fax |
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Provider Business Mailing Address
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Address Line | 9600 VETERANS DR SW
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City | TACOMA
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State | WA
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Zip | 98493-0003
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Country | US
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Telephone | 408-627-7021
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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 | 14992
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License Number State | CA
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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 | OD60479528
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License Number State | WA
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