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General NPI Number Information
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NPI Number | 1316160104
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Entity Type | Individual
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Provider Name | TSANG PIN LIU D.M.D
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 3125 COFFEE RD SUITE 5
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City | MODESTO
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State | CA
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Zip | 95355-1768
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Country | US
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Telephone | 209-572-1992
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Fax | 209-572-2147
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Provider Business Mailing Address
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Address Line | 3125 COFFEE RD SUITE 5
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City | MODESTO
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State | CA
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Zip | 95355-1768
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Country | US
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Telephone | 209-572-1992
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Fax | 209-572-2147
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 49004
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License Number State | CA
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