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General NPI Number Information
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NPI Number | 1962653162
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Entity Type | Organization
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Legal Business Name | JUNE CHIH JESSE LIU MD INC
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 08/18/2011
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Provider Practice Location Address
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Address Line | 713 W DUARTE RD # G543
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City | ARCADIA
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State | CA
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Zip | 91007-7564
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Country | US
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Telephone | 626-446-9697
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Fax | 626-446-9669
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Provider Business Mailing Address
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Address Line | 660 W DUARTE RD UNIT A
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City | ARCADIA
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State | CA
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Zip | 91007-7623
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Country | US
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Telephone | 626-446-9697
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Fax | 626-446-9669
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUNECHIH LIU
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Credential | MD
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Telephone | 626-446-9697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A77423
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License Number State | CA
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