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General NPI Number Information
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NPI Number | 1487830147
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Entity Type | Organization
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Legal Business Name | ERIC T. LIU, D.D.S., INC.
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Dates
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Enumeration Date | 01/12/2008
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Last Update Date | 01/12/2008
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Provider Practice Location Address
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Address Line | 12511 ALONDRA BLVD
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City | NORWALK
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State | CA
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Zip | 90650-7351
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Country | US
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Telephone | 562-921-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 12511 ALONDRA BLVD
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City | NORWALK
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State | CA
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Zip | 90650-7351
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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. ERIC TSUNG-EN LIU
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Credential | D.D.S.
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Telephone | 562-921-0411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 33330
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License Number State | CA
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