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General NPI Number Information
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NPI Number | 1831345933
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Entity Type | Individual
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Provider Name | DANTIAN TING LIU L.AC.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 18818 TELLER AVE STE 115
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City | IRVINE
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State | CA
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Zip | 92612-1623
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Country | US
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Telephone | 949-444-5128
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Fax |
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Provider Business Mailing Address
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Address Line | 4521 CAMPUS DR STE 386
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City | IRVINE
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State | CA
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Zip | 92612-2621
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Country | US
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Telephone | 949-444-5128
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC11888
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License Number State | CA
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