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General NPI Number Information
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NPI Number | 1417764697
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Entity Type | Organization
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Legal Business Name | LUKE D. LIU, M.D. , PC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 2211 MOORPARK AVE STE 160
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City | SAN JOSE
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State | CA
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Zip | 95128-2632
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Country | US
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Telephone | 818-523-5372
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 AIRPORT HEIGHTS DR STE 280
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City | ANCHORAGE
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State | AK
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Zip | 99508-2971
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUKE LIU
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Credential | MD
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Telephone | 818-523-5372
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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 |
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License Number State |
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