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NPI 1477030120

NPI 1477030120 : STEVE LIU LAC : ROSEMEAD, CA

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General NPI Number Information
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    NPI Number           |    1477030120
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    Entity Type          |    Individual 
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    Provider Name        |    STEVE LIU LAC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/25/2018
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    Last Update Date     |    07/25/2018
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Provider Practice Location Address
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    Address Line         |    4050 TEMPLE CITY BLVD 
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    City                 |    ROSEMEAD
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    State                |    CA
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    Zip                  |    91770-1564
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    Country              |    US
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    Telephone            |    626-242-5658
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4050 TEMPLE CITY BLVD 
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    City                 |    ROSEMEAD
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    State                |    CA
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    Zip                  |    91770-1564
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    Country              |    US
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    Telephone            |    626-242-5658
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    AC2255
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    License Number State |    CA
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