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General NPI Number Information
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NPI Number | 1568896918
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Entity Type | Organization
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Legal Business Name | DR LI LIU ACUPUNCTURE & HERBAL MEDICINE
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 311 FOREST AVE. SUITE B-2
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City | PACIFIC GROVE
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State | CA
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Zip | 93950
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Country | US
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Telephone | 415-244-0838
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Fax |
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Provider Business Mailing Address
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Address Line | 311 FOREST AVE. SUITE B-2
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City | PACIFIC GROVE
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State | CA
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Zip | 93950
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Country | US
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Telephone | 415-244-0838
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LI LIU
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Credential |
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Telephone | 415-244-0838
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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 | AC13717
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License Number State | CA
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