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General NPI Number Information
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NPI Number | 1417766148
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Entity Type | Individual
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Provider Name | YING LIU
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1221 ARISTA DR STE 200
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City | ROCKWALL
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State | TX
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Zip | 75032-6692
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Country | US
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Telephone | 214-686-3650
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Fax |
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Provider Business Mailing Address
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Address Line | 7105 HANDEN DR
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City | ROWLETT
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State | TX
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Zip | 75089-3816
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Country | US
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Telephone | 469-847-1128
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT040714
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License Number State | TX
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