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General NPI Number Information
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NPI Number | 1538596911
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Entity Type | Individual
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Provider Name | ERIC LIU DPT
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Gender | Male
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 5454 WISCONSIN AVE SUITE. 1000
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6901
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Country | US
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Telephone | 301-657-1996
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Fax |
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Provider Business Mailing Address
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Address Line | 18214 LITTLEBROOKE DR
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City | OLNEY
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State | MD
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Zip | 20832-3040
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Country | US
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Telephone | 301-908-4845
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 24724
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License Number State | MD
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