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General NPI Number Information
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NPI Number | 1619677242
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Entity Type | Individual
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Provider Name | ANDREW QUOC LIEU DDS
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Gender | Male
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 07/06/2025
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Provider Practice Location Address
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Address Line | 2811 BUSINESS CENTER DR STE 105
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City | PEARLAND
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State | TX
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Zip | 77584-4161
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Country | US
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Telephone | 713-340-1418
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Fax |
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Provider Business Mailing Address
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Address Line | 1402 SILVER MAPLE LN
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City | PEARLAND
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State | TX
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Zip | 77581-5876
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Country | US
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Telephone | 832-433-2762
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 41429
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 41429
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License Number State | TX
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