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General NPI Number Information
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NPI Number | 1518980663
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Entity Type | Individual
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Provider Name | ANTONIO K. LIU M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 150 S RAYMOND AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-3166
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Country | US
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Telephone | 626-300-0008
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Fax | 626-300-0191
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Provider Business Mailing Address
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Address Line | 150 S RAYMOND AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-3166
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Country | US
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Telephone | 626-300-0008
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Fax | 626-300-0191
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 30171
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | T8882
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2022038336
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | A062246
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME159509
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 66692
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | THMD00033
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License Number State | AZ
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