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NPI 1568998375

NPI 1568998375 : ERIC LIU DO : KING OF PRUSSIA, PA

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General NPI Number Information
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    NPI Number           |    1568998375
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC LIU DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/11/2017
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    Last Update Date     |    05/17/2025
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Provider Practice Location Address
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    Address Line         |    700 S HENDERSON RD STE 308C 
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    City                 |    KING OF PRUSSIA
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    State                |    PA
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    Zip                  |    19406-4206
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    Country              |    US
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    Telephone            |    610-337-3111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    706 LATONA ST UNIT D 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19147-5168
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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    |    
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    OS021329
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    License Number State |    PA
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