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General NPI Number Information
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NPI Number | 1700082369
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Entity Type | Individual
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Provider Name | GRACE LIU M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 1301 PUNCHBOWL ST
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City | HONOLULU
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State | HI
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Zip | 96813-2402
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Country | US
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Telephone | 808-538-9011
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Fax |
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Provider Business Mailing Address
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Address Line | 350 WARD AVE SUITE 106 #77
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City | HONOLULU
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State | HI
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Zip | 96814-4010
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Country | US
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Telephone | 808-741-1821
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Fax | 808-847-5385
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A106256
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD15992
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License Number State | HI
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