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General NPI Number Information
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NPI Number | 1306080098
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Entity Type | Organization
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Legal Business Name | DR. ANNA LIU, INC.
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 11100 WARNER AVE 358
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7506
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Country | US
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Telephone | 714-966-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 11100 WARNER AVE 358
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7506
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Country | US
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Telephone | 714-966-1500
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | ANNA LIU
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Credential | D.O.
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Telephone | 714-350-2754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 009417
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License Number State | CA
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