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General NPI Number Information
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NPI Number | 1457577876
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Entity Type | Organization
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Legal Business Name | DRS. LIU & LONGACRE, INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 6155 STONERIDGE DRIVE SUITE100
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City | PLEASANTON
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State | CA
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Zip | 94588-3462
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Country | US
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Telephone | 925-463-2150
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Fax | 925-463-1186
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Provider Business Mailing Address
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Address Line | 6155 STONERIDGE DR SUITE 100
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City | PLEASANTON
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State | CA
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Zip | 94588-3204
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Country | US
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Telephone | 925-463-2150
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Fax | 925-463-1186
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Authorized Official
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Title or Position | OWENS
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Name | DRS LIU AND LONGACRE LIU
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Credential | O.D.
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Telephone | 925-463-2150
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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 |
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License Number State |
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