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General NPI Number Information
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NPI Number | 1396426722
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Entity Type | Organization
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Legal Business Name | KATHY LIU DDS LLC
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 621 RIDGELY AVE STE 206
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1083
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Country | US
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Telephone | 410-224-2660
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Fax |
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Provider Business Mailing Address
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Address Line | 6413 SNOWMAN CT
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City | COLUMBIA
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State | MD
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Zip | 21045-4430
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Country | US
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Telephone | 215-589-3747
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHY LIU
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Credential | DDS
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Telephone | 215-589-3747
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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 |
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License Number State |
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