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General NPI Number Information
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NPI Number | 1881602548
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Entity Type | Individual
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Provider Name | DAVID A LIU PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 362 W MISSION AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-1740
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Country | US
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Telephone | 760-747-2031
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Fax | 760-747-2875
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Provider Business Mailing Address
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Address Line | 3214 CARR DR
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City | OCEANSIDE
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State | CA
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Zip | 92056-3810
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Country | US
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Telephone | 760-747-2031
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Fax | 760-747-2875
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 16480
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License Number State | CA
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