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General NPI Number Information
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NPI Number | 1891266490
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Entity Type | Organization
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Legal Business Name | HOWARD LIU, DDS, INC
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Dates
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Enumeration Date | 12/09/2018
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 1309 TENNESSEE ST
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City | VALLEJO
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State | CA
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Zip | 94590-4645
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Country | US
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Telephone | 707-642-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 TENNESSEE ST
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City | VALLEJO
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State | CA
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Zip | 94590-4645
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Country | US
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Telephone | 707-642-3636
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD LIU
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Credential | DDS
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Telephone | 646-462-3898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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