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General NPI Number Information
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NPI Number | 1003505066
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Entity Type | Organization
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Legal Business Name | KAREN WU, O.D., INC.
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 2755 CANYON SPRINGS PKWY
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City | RIVERSIDE
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State | CA
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Zip | 92507-0932
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Country | US
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Telephone | 951-901-0805
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Fax |
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Provider Business Mailing Address
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Address Line | 1831 S GLADYS AVE UNIT A
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City | SAN GABRIEL
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State | CA
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Zip | 91776-3910
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Country | US
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Telephone | 626-354-6815
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAREN WU
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Credential |
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Telephone | 626-354-6815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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