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General NPI Number Information
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NPI Number | 1679621759
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Entity Type | Organization
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Legal Business Name | GENERAL HEALTHCARE, PS
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4709 MEMORY LN W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-1038
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Country | US
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Telephone | 253-973-9328
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Fax | 253-566-4982
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Provider Business Mailing Address
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Address Line | 4709 MEMORY LN. W.
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466
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Country | US
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Telephone | 253-973-9328
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Fax | 253-566-4982
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Authorized Official
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Title or Position | MD
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Name | BETH BINQIU LIU
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Credential |
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Telephone | 253-973-9328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00044728
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License Number State | WA
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