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General NPI Number Information
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NPI Number | 1790065993
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Entity Type | Individual
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Provider Name | LUCY LIU L.AC., PHD, ND
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Gender | Female
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 08/19/2011
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Provider Practice Location Address
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Address Line | 475 N BRIDGE ST
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2153
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Country | US
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Telephone | 908-429-9990
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Fax | 908-429-9991
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Provider Business Mailing Address
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Address Line | 316 KELLY DR
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City | BRANCHBURG
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State | NJ
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Zip | 08853-4044
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Country | US
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Telephone | 908-429-9990
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Fax | 908-429-9991
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ000245
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License Number State | NJ
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