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General NPI Number Information
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NPI Number | 1336273440
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Entity Type | Organization
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Legal Business Name | DR HALLE LIU & ASSOCIATES PA
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 1701 DALLAS PKWY
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City | PLANO
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State | TX
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Zip | 75093-4580
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Country | US
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Telephone | 972-713-7151
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Fax |
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Provider Business Mailing Address
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Address Line | 4609 QUIET CIR
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City | PLANO
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State | TX
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Zip | 75024-6862
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Country | US
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Telephone | 972-302-1412
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HALLE PHUONG LIU
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Credential |
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Telephone | 972-302-1412
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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 | 6612TG
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License Number State | TX
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